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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 354 - 361 (8page)
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초록· 키워드
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Objective To delineate the effect of early cranioplasty on the recovery of cognitive and functional impairments in patients who received decompressive craniectomy after traumatic brain injury or spontaneous cerebral hemorrhage.Methods Twenty-four patients who had received cranioplasty were selected and divided according to the period from decompressive craniectomy to cranioplasty into early (≤90 days) and late (>90 days) groups. The Korean version of the Mini-Mental State Examination (K-MMSE), Korean version of the Modified Barthel Index (K-MBI), and Functional Independence Measure (FIM) were evaluated at admission just after decompressive craniectomy and during the follow-up period after cranioplasty.Results Twelve patients were included in the early group, and another 13 patients were included in the late group. The age, gender, type of lesion, and initial K-MMSE, K-MBI, and FIM did not significantly differ between two groups. However, the total gain scores of the K-MMSE and FIM in the early group (4.50±7.49 and 9.42±15.96, respectively) increased more than those in the late group (-1.08±3.65 and -0.17±17.86, respectively), and some of K-MMSE subscores (orientation and language) and FIM subcategories (self-care and transfer-locomotion) in the early group increased significantly when compared to those in the late group without any serious complications. We also found that the time to perform a cranioplasty was weakly, negatively correlated with the K-MMSE gain score (r=-0.560).Conclusion Early cranioplasty might be helpful in restoring cognitive and functional impairments, especially orientation, language ability, self-care ability, and mobility in patients with traumatic brain injury or spontaneous cerebral hemorrhage.
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등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Hofmeijer J / 2009 / Surgical decompression for space-occupying cerebral infarction (the Hemicraniectomy After Middle Cerebral Artery infarction with Life-threatening Edema Trial [HAMLET]): a multicentre, open, randomised trial / Lancet Neurol 8:326~333
Juttler E / 2011 / DESTINY II: DEcompressive Surgery for the Treatment of malignant INfarction of the middle cerebral arterY II / Int J Stroke 6:79~86
Vahedi K / 2007 / Sequential-design, multicenter, randomized, controlled trial of early decompressive craniectomy in malignant middle cerebral artery infarction (DECIMAL Trial) / Stroke 38:2506~2517
Chang V / 2010 / Outcomes of cranial repair after craniectomy / J Neurosurg 112:1120~1124
Aarabi B / 2006 / Outcome following decompressive craniectomy for malignant swelling due to severe head injury / J Neurosurg 104:469~479
Juttler E / 2011 / DESTINY II: DEcompressive Surgery for the Treatment of malignant INfarction of the middle cerebral arterY II / Int J Stroke 6:79~86
Vahedi K / 2007 / Sequential-design, multicenter, randomized, controlled trial of early decompressive craniectomy in malignant middle cerebral artery infarction (DECIMAL Trial) / Stroke 38:2506~2517
Chang V / 2010 / Outcomes of cranial repair after craniectomy / J Neurosurg 112:1120~1124
Aarabi B / 2006 / Outcome following decompressive craniectomy for malignant swelling due to severe head injury / J Neurosurg 104:469~479
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