Simultaneous cranioplasty and subdural-peritoneal shunting for contralateral symptomatic XXXX following decompressive craniectomy.

@entity1 @entity1276 @entity772 @entity425 @entity11757 @entity51 @entity1779
BACKGROUND: Contralateral @entity11757 caused by decompressive craniectomy tends to combine with external @entity1779 , causing @entity51 . MATERIAL AND METHODS: Nine @entity1 who underwent one-stage, simultaneous cranioplasty and contralateral subdural-peritoneal shunting were included in this study. Clinical outcome was assessed by Glasgow Outcome Scale as well as Glasgow @entity772 Scale, muscle power scoring system, and complications. RESULTS: Postoperative computed tomography scans demonstrated completely resolved @entity11757 and reversed midline shifts, indicating excellent outcome. Among these 9 @entity1 , 4 @entity1 (44%) had improved GOS following the proposed surgery. Four out of 4 @entity1 with lethargy became alert and orientated following surgical intervention. Muscle strength improved significantly 5 months after surgery in 7 out of 7 @entity1 with @entity425 . Two out of 9 @entity1 presented with drowsiness due to @entity1276 at an average time of 65 days after surgery. Double gradient shunting is useful to eliminate the respective @entity1276 and contralateral @entity11757 . CONCLUSION: The described surgical technique is effective in treating symptomatic contralateral @entity11757 following decompressive craniectomy and is associated with an excellent structural and functional outcome. However, subdural-peritoneal shunting plus cranioplasty thoroughly resolves the @entity11757 collection, which might deteriorate the cerebrospinal fluid circulation, leading to @entity1276 .
