Journal Reading

B Y: P R A B H J O T H S I N G H
P R O F. D R . D R . D A RW I N A M I R S P. S ( K )
The effect of cranioplasty in cognitive and
functional improvement: Experience of post
traumatic brain injury inpatient
rehabilitation
Abstract
37 patients with TBI were arranged by retrospectively
assessment study
Department of Rehabilitation in a
medical center of South Taiwan from 2010 to 2015
Assigned into two groups: A and B
Group A received decompressive craniectomy (DC)
Group B received DC and cranioplasty
 Barthel index (BI),
Cognitive function evaluation
Rancho Los Amigo Scale
Mini Mental State Examination
Community Mental State Examination
Luria-Nebraska Neuropsychological
Battery-Screening Test
 Synergetic effects of cranioplasty on post-TBI patients with
rehabilitation training, especially in the BI score, and cognitive
improvement in CMSE and LNNBS
Introduction
The skull breach is linked to a rare complication related to
neurological symptoms, as known as trephined syndrome
Nonspecific symptoms, such as headache, seizure, dizzy
sensation, fatigue
Unanticipated improvement of motor and cognitive impairment
after cranioplasty
Evidence is mostly limited to case studies and is not focused on
TBI populations
Although supportive, is not sufficient
Purpose
Confirm the effect on cognitive and functional gain of
cranioplasty application
Material and methods - Patients
Retrospective case review study was performed in a local
medical university-affiliated medical center in Kaohsiung
Medical University Hospital
All patients who suffered from traumatic brain
injury and underwent DC from January 2010 to December
2015, completed the multidisciplinary holistic in-patient
rehabilitation training.
Functional assessment
Muscle power and Barthel index is recorded at admission and
discharge
The attending physician evaluates 10 categories of the Barthel
index, and sums up the total score
Cognitive assessment
All evaluations are measured before and after rehabilitation
programs by an experienced psychologist
Completed during the first and last weeks of hospital admission
All data recordings are manually performed by the same
psychologist
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