ArticleBrain & spine2024
Consensus-based recommendations for diagnosis and surgical management of cranioplasty and post-traumatic hydrocephalus from a European panel.
Article in Brain & spine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Optimal timing of ventriculoperitoneal shunt insertion relative to cranioplasty post-decompressive craniectomy: a frequentist network meta-analysis.Acta neurochirurgica · 2026Pooled it
- Low-Pressure Hydrocephalus After Traumatic Brain Injury: A Case Series and Scoping Review.Journal of clinical medicine · 2026Review
- Simultaneous Cranioplasty and Ventriculoperitoneal Shunt Placement After Decompressive Craniectomy in Children: A Single-Center Experience.Journal of clinical medicine · 2026Article
- Continuum of Irreversible and Potentially Reversible Traumatic Brain Injury Sequelae: Axonal Injury and Hydrocephalus.Korean journal of neurotrauma · 2026Review
- Neurosurgical Theatres' Carbon Net Efficiency: A Service Improvement Project Conducted via the Oxford Cranioplasty Pathway.Healthcare (Basel, Switzerland) · 2026Article
- Rehabilitation after diagnosis of hydrocephalus in severe acquired brain injury: the unmet need for evidence-based guidelines.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Review
- Effects of cranioplasty with customized 3D titanium mesh plates on postoperative complications and neurological outcomes following traumatic brain injury or stroke: a single-center retrospective study.Langenbeck's archives of surgery · 2026Article
- Syndrome of the trephined: from pathophysiology to cranioplasty - an updated narrative review.Brain & spine · 2026Review
- Ultrasound-measured optic nerve sheath diameter as a non-invasive tool for screening elevated-pressure from normal-pressure hydrocephalus: a cross-sectional study.Neurosurgical review · 2025Article
- The timing of cranioplasty and the risk of postoperative complications: a systematic review and meta-analysis.EClinicalMedicine · 2025Article
- Cranioplasty complications in severe traumatic brain injury: implications of timing of surgery, implant material and incidence of vetriculomegaly versus Post-Traumatic hydrocephalus.Neurosurgical review · 2025Observational
- The Collapse of Brain Clearance: Glymphatic-Venous Failure, Aquaporin-4 Breakdown, and AI-Empowered Precision Neurotherapeutics in Intracranial Hypertension.International journal of molecular sciences · 2025Review
- A Randomized Controlled Trial Comparing Subcutaneous Preservation of Bone Flaps with Cryogenic Preservation of Bone Flaps for Cranioplasty in Cases of Traumatic Brain Injury.Brain sciences · 2025Article
- Predictors of complications following alloplastic cranioplasty in trauma patients: A multi-center retrospective study.PloS one · 2025Article
- The current state of cranioplasty in Europe - Results from a European cranioplasty survey.Brain & spine · 2025Article
- Guidelines in Neurosurgery: a critical appraisal.Acta neurochirurgica · 2024Review
- Progress in the diagnosis and treatment of post-traumatic hydrocephalus.Frontiers in neurologyReview
- Factors determining hydrocephalus after decompressive craniectomy: the role of interhemispheric hygroma.Frontiers in neurologyArticle
- Article
- Post-traumatic hydrocephalus in adults: the mechanisms of development, predictors of progression and management strategies. A narrative review and case series analysis.Frontiers in neurologyArticle
Corrections and comments
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Authors and funding
33 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Planning cranioplasty (CPL) in patients with suspected or proven post-traumatic hydrocephalus (PTH) poses a significant management challenge due to a lack of clear guidance. Research question: This project aims to create a European document to improve adherence and adapt to local protocols based on available resources and national health systems. Methods: After a thorough non-systematic review, a steering committee (SC) formed a European expert panel (EP) for a two-round questionnaire using the Delphi method. The questionnaire employed a 9-point Likert scale to assess the appropriateness of statements inherent to two sections: "Diagnostic criteria for PTH" and "Surgical strategies for PTH and cranial reconstruction." Results: The panel reached a consensus on 29 statements. In the "Diagnostic criteria for PTH" section, five statements were deemed "appropriate" (consensus 74.2-90.3 %), two were labeled "inappropriate," and seven were marked as "uncertain."In the "Surgical strategies for PTH and cranial reconstruction" section, four statements were considered "appropriate" (consensus 74.2-90.4 %), six were "inappropriate," and five were "uncertain." Discussion and conclusion: Planning a cranioplasty alongside hydrocephalus remains a significant challenge in neurosurgery. Our consensus conference suggests that, in patients with cranial decompression and suspected hydrocephalus, the most suitable diagnostic approach involves a combination of evolving clinical conditions and neuroradiological imaging. The recommended management sequence prioritizes cranial reconstruction, with the option of a ventriculoperitoneal shunt when needed, preferably with a programmable valve. We strongly recommend to adopt local protocols based on expert consensus, such as this, to guide patient care.
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