[Syndrome of the trephined].
| Autor: | Martínez-Viñuela I; Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario de Toledo, Toledo, España. Electronic address: irenemmv@hotmail.com., Paredes-Borrachero I; Unidad de Cuidados Intensivos, Complejo Hospitalario de Toledo, Toledo, España., Rubio-Mellado M; Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario de Toledo, Toledo, España., Fernández-García L; Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario de Toledo, Toledo, España., Madrid-Sánchez J; Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario de Toledo, Toledo, España., García-Bascones M; Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario de Toledo, Toledo, España., Díaz-Jiménez M; Servicio de Medicina Física y Rehabilitación, Complejo Hospitalario de Toledo, Toledo, España. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Rehabilitacion [Rehabilitacion (Madr)] 2021 Oct-Dec; Vol. 55 (4), pp. 325-328. Date of Electronic Publication: 2021 Jan 04. |
| DOI: | 10.1016/j.rh.2020.11.005 |
| Abstrakt: | Syndrome of the trephined (SoT) is the neurological deterioration that occurs after the performance of decompressive craniectomy in which bone is not replaced. The incidence of SoT varies, but this entity seems to be underdiagnosed. It is characterized by symptom reversal after bone replacement, which is the only definitive treatment. We report the case of a patient assessed by the Rehabilitation Service in the Critical Care Unit after a stroke, who had altered level of consciousness and abrupt motor impairment. The patient was diagnosed with SoT. Rehabilitation, with early postural changes, helped to ameliorate the symptoms until the provision of definitive treatment. (Copyright © 2020 Sociedad Española de Rehabilitación y Medicina Física. Publicado por Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
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