The role of early skeletal plastics of a skull defect in the rehabilitation of patients who underwent decompressive trepanation of the skull for nontraumatic intracranial hemorrhage

Decompressive trepanation of the skull in the complex treatment of non-traumatic intracranial hemorrhages certainly plays an important role. In different clinics it is performed in 30-40% of cases of increased intracranial pressure for various cerebrovascular pathologies. Being inherently urgent intervention aimed at saving lives, it entails a number of negative consequences, reduces the rehabilitation potential of the patient. The floor plastic of the defect of the bones of the skull is more often delayed, after a few months. For 2013-2015 years. Decompressive trepanation of the skull due to an uncontrolled increase in intracranial pressure, we performed 137 patients, 71 of them (study group) - early skeletal deformity of the skull defect in terms of 6 to 17 days, the rest of the plastic was not performed (control group). Patients from both groups were evaluated according to a number of criteria, the greatest difference was noted in the rate of recovery of the level of consciousness, regress of aphasic disorders after the plastic surgery. This is confirmed statistically by means of regression analysis functions. At the same time, the trends in patient recovery, regardless of nosology, were similar, as noted in the standard scales (Rankin, NIIHS, Rivermeade Barthel's index).

skull defect, decompressive trepanation, nontraumatic intracranial hemorrhage, floor plastic, hypertonic hemorrhage, saccular aneurysm, hemorrhagic stroke