Edema after trephination

1. What is trephination, what is it for?

Trepanation of the skull (or craniotomy) is a surgical intervention in which the skull is opened in various ways and penetrates into its cavity.

Trepanation of the skull is performed for treatmentbrain tumors, elimination of pathologies of cerebral vessels, traumatic head injuries, treatment of intracerebral infections, treatment of certain neurological conditions (eg, epilepsy).

2. Stages of the operation

The operation is performed under both local and regional anesthesia.

The surgeon performs a resection of the skin inzone of the operating field. Further with the help of a high-speed drill, the doctor cuts out a fragment of the skull bone, exposing the hard shell of the brain. After the opening of the hard shell with a scalpel, the surgeon has the opportunity to get close to the purpose of the operation. From that moment, the operation continues using a special microscope (at present, a high-tech system of neurosurgical navigation is used in individual clinics), which allows to minimize the risk of damage to surrounding healthy brain tissues.

3. Consequences of trepanation of the skull

The consequences of trepanation of the skull entirely depend on the postoperative state of the patient. Determine in advance what will be, and if at all, the consequences are impossible.

After carrying out such an operation,there are surgical complications such as, infection, intracranial bleeding, cerebral edema, damage to surrounding brain tissue, damage to the brain vessels, the development of epilepsy. In some cases, the operation can be complicated by the development of complete or partial paralysis or the violation of certain functions (all kinds of memory, perception, speech). Very often patients in the first hours after surgery are concerned with headaches, nausea, vomiting.

Subsequently, the development of bone deformationthe skull, since some of the bone tissue is removed and a depression remains in this area. Therefore, surgeons recommend doing plastic surgery (cranioplasty) for the prevention of trepanis syndrome, which develops a diffuse headache, pain in the defect area that increase during periods of atmospheric pressure or ambient temperature. In addition, there is a protrusion of the contents of the skull into a defect when the head is tilted, exercise, coughing, sneezing.

After the operation, steroiddrugs, sometimes anticonvulsant. Many of those who underwent trepanation are subsequently disturbed by a sharp deterioration in memory and attention, weight loss, nervousness, sleep disturbances, short-term clouding of consciousness, general weakness, fatigue, rapid physical and mental exhaustion, digestive disorders. But to say unequivocally that these are consequences of trepanation, it is impossible, because such side effects can be associated with taking prescribed medications. Often there is local pain along the edges of the bone defect, sometimes in its center, a feeling of pressure, pulsation, gravity, contraction. The risk of operational mortality due to trepanation of the skull is two percent.

4. Rehabilitation after trephination

The operation itself does not apply to simple,accordingly, the rehabilitation period is long: the operated patient is ten days in the hospital, followed by a long recovery period at home, excluding physical, mental, nervous stress.

The patient, after carrying out a similar operation, VTEK establishes a disability, which after three years, with a favorable course of rehabilitation, can be canceled.