AANS Beyond 2021: Full Collection-Cranial Reconstruction

Video Transcription

Video Summary

In the video, Dr. Joe Gracioli from the University of Miami talks about cranial reconstruction. He discusses the historical case of a patient who suffered a transfixating injury in 1869, where a metal bar went through the head and caused a brain abscess. The patient eventually recovered but had a change in personality and cognition. Dr. Gracioli then presents a case of a 40-year-old male patient who was stabbed in the left eye, causing extensive damage to the orbital walls and brain tissue. The patient underwent emergency surgery to treat systemic injuries and stabilize his condition. Imaging tests revealed vascular injuries, which were treated with embolization. The patient then underwent a cranial reconstruction using a pericranial flap and bone graft. Dr. Gracioli discusses the reasons for cranial reconstruction, optimal timing, and different materials that can be used. He also explains complications and concerns associated with the procedure, such as hydrocephalus and infection. The video provides insights into the different techniques and approaches to cranial reconstruction.

Keywords

cranial reconstruction

University of Miami

transfixating injury

brain abscess

emergency surgery

pericranial flap