Neurological Impairment due to a Large Skull Defect: Implications for Neurorehabilitation
Department of Neurosurgery, Sir Charles Gairdner Hospital and Royal Perth Hospital, Western Australia
- *Corresponding Author:
- Stephen Honeybul
Consultant Neurosurgeon, Department of Neurosurgery
Sir Charles Gairdner Hospital, Hospital Avenue
Perth, Western Australia, 6009
Tel: 08 9346 1132
Fax: 08 9346 3824
E-mail: [email protected]
Received date: June 26, 2014; Accepted date: August 28, 2014; Published date: September 08, 2014
Citation: Honeybul S (2014) Neurological Impairment due to a Large Skull Defect: Implications for Neurorehabilitation. Int J Neurorehabilitation 1:114. doi:10.4172/2376-0281.1000114
Copyright: © 2014 Honeybul S . This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Given the continued use of decompressive craniectomy in the management of neurological emergencies recognition of complications is important in order for patients to gain maximal benefit during rehabilitation. One complication that has received relatively little attention is the neurological dysfunction that can occur due to distortion of the brain under the scalp as cerebral oedema subsides. The neurological deterioration that can occur can take many forms and this is probably due to a multifactorial pathophysiology. Recognition of this condition is important if delays in the rehabilitation process are to be avoided. This review discusses the historical background, possible pathophysiological mechanisms, clinical incidence and implications for healthcare workers involved in neurorehabilitation.