Zentralblatt für Neurochirurgie
-
Zentralbl. Neurochir. · Jan 1997
Case ReportsControlled external lumbar drain as treatment for therapy resistant intracranial hypertension--case report.
We report the case of an eleven year old male with a history of severe head injury who had manifested high intracranial pressure refractory to aggressive medical therapy, including ventriculostomy, controlled hyperventilation, mannitol and barbiturate application. The insertion of an external lumbar drain in this patient resulted in rapid permanent control of the intracranial hypertension. No transtentorial or tonsillar herniation occurred.
-
Zentralbl. Neurochir. · Jan 1997
[CAD/CAM (computer-aided design/computer-aided manufacturing) titanium implants for cranial and craniofacial defect reconstruction].
The reconstruction of craniofacial bone defects with intraoperatively modeled prosthesis restricts the choice of material and its biocompatibility and the prediction of the esthetic result. A prolonged duration of the surgical procedure and an increased stress on the patient are consequences. In contrast, modern industrial CAD/CAM-systems allow the prefabrication of titanium prosthesis: An individual computer-based 3D model of the bony defect is generated after acquisition, transfer and evaluation of helical CT data. ⋯ Individual osteosynthesis-microplates for fixation are integrated in design and manufacturing if screw-holes cannot be integrated in the thin margins of the implants. The radiological and clinical results of 17 patients after reconstruction of craniofacial bone defects with CAD/CAM titanium implants were good. Complications were not observed.