ArticleJournal of Korean Neurosurgical Society2015
Unexpected Severe Cerebral Edema after Cranioplasty : Case Report and Literature Review.
Article in Journal of Korean Neurosurgical Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 25 citations in OpenAlex.
- Massive brain swelling after cranioplasty in the setting of severe sunken flap syndrome: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Fatal Status Epilepticus After Elective Revision Cranioplasty: Case Report and Literature Review.The American journal of case reports · 2026Review
- Malignant Cerebral Edema After Cranioplasty: A Case Report and Literature Insights.The American journal of case reports · 2025Review
- Predictors of postoperative epidural hematomas after custom-made porous hydroxyapatite cranioplasty: a single-center experience of 194 consecutive cases.Neurosurgical review · 2023Article
- Malignant cerebral edema after cranioplasty, a rare complication: case series and literature review.Annals of medicine and surgery (2012) · 2023Article
- Malignant bihemispheric cerebral edema after cranioplasty - An extension of the Monro-Kellie doctrine and predictive factors.Surgical neurology international · 2023Article
- Multiple Cerebral Hemorrhages Caused by Paradoxical Reperfusion Injury After Cranioplasty.Korean journal of neurotrauma · 2022Article
- Unexpected complications immediately after cranioplasty.Acute medicine & surgery · 2017Article
- Fatal cerebral swelling immediately after cranioplasty: A case report.Surgical neurology international · 2017Article
- Sudden Death Following Cranioplasty.Journal of Korean Neurosurgical Society · 2016Article
- The "Negative" Impact of a Subgaleal Drain: Post-cranioplasty Negative Pressure Subgaleal Drain-induced Ascending Transtentorial Herniation.Asian journal of neurosurgeryArticle
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This report details a case of unexpected, severe post-operative cerebral edema following cranioplasty. We discuss the possible pathological mechanisms of this complication. A 50-year-old female was admitted to our department with sudden onset of stuporous consciousness. A brain computed tomography (CT) revealed a subarachnoid hemorrhage with intracranial hemorrhage and subdural hematoma. Emergency decompressive craniectomy and aneurysmal neck clipping were performed. Following recovery, the decision was made to proceed with an autologous cranioplasty. The cranioplasty procedure was free of complications. An epidural drain was placed and connected to a suction system during skin closure to avoid epidural blood accumulation. However, following the procedure, the patient had a seizure in the recovery room. An emergency brain CT scan revealed widespread cerebral edema, and the catheter drain was clamped. The increased intracranial pressure and cerebral edema were controlled with osmotic diuretics, corticosteroids, and antiepileptic drugs. The edema slowly subsided, but new low-density areas were noted in the brain on follow-up CT 1 week later. We speculated that placing the epidural drain on active suction may have caused an acute decrease in intracranial pressure and subsequent rapid expansion of the brain, which impaired autoregulation and led to reperfusion injury.
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