Cargando…
3D printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’
BACKGROUND: Syndrome of the trephined is a well-recognised phenomenon that occurs in patients following a craniectomy. It is associated with several symptoms, including headaches, motor impairments, cognitive disorders and reduced consciousness. Treatment for the syndrome usually involves replacing...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8588646/ https://www.ncbi.nlm.nih.gov/pubmed/34767106 http://dx.doi.org/10.1186/s41205-021-00123-7 |
_version_ | 1784598520371609600 |
---|---|
author | H., Mee S., Greasley G., Whiting C., Harkin G., Oliver D., Marsden R., Andrews S., Sireau RD., Price F., Anwar IS., Timofeev PJ., Hutchinson PA., White A., Helmy |
author_facet | H., Mee S., Greasley G., Whiting C., Harkin G., Oliver D., Marsden R., Andrews S., Sireau RD., Price F., Anwar IS., Timofeev PJ., Hutchinson PA., White A., Helmy |
author_sort | H., Mee |
collection | PubMed |
description | BACKGROUND: Syndrome of the trephined is a well-recognised phenomenon that occurs in patients following a craniectomy. It is associated with several symptoms, including headaches, motor impairments, cognitive disorders and reduced consciousness. Treatment for the syndrome usually involves replacing the skull defect. CASE STUDY: A 71-year-old male underwent a left-sided craniectomy after being diagnosed with biopsy-confirmed invasive squamous cell carcinoma with associated skull erosion. Subsequently, he developed a severe case of syndrome of the trephined (SoT,) resulting in having to lie flat to prevent the motor component of the Glasgow Coma Score (GCS) falling from M5/6 (E3/4 Vt M5/6) to M1 (E3/4 Vt M1) on sitting to 30 degrees. Unfortunately, due to ongoing chest sepsis and physical frailty, he was unable to undergo a cranioplasty. Therefore, to aid in clinical stabilisation, the treating physicians and clinical engineering teams designed and manufactured a prosthesis on-site, allowing rapid patient treatment. The prosthesis led to the patient being able to sit up to 30 degrees without the motor component of the GCS falling from M6 to M1 (E4 VT M6). CONCLUSION: Clinical improvements were demonstrated with definitive neurological improvement after applying the external cranial plate in clinical outcome measures and radiographically. Furthermore, we have shown that rapid prototyping technology provides a flexible solution to synthesise bespoke medical prostheses with the correct expertise and regulatory framework. |
format | Online Article Text |
id | pubmed-8588646 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-85886462021-11-15 3D printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’ H., Mee S., Greasley G., Whiting C., Harkin G., Oliver D., Marsden R., Andrews S., Sireau RD., Price F., Anwar IS., Timofeev PJ., Hutchinson PA., White A., Helmy 3D Print Med Case Report BACKGROUND: Syndrome of the trephined is a well-recognised phenomenon that occurs in patients following a craniectomy. It is associated with several symptoms, including headaches, motor impairments, cognitive disorders and reduced consciousness. Treatment for the syndrome usually involves replacing the skull defect. CASE STUDY: A 71-year-old male underwent a left-sided craniectomy after being diagnosed with biopsy-confirmed invasive squamous cell carcinoma with associated skull erosion. Subsequently, he developed a severe case of syndrome of the trephined (SoT,) resulting in having to lie flat to prevent the motor component of the Glasgow Coma Score (GCS) falling from M5/6 (E3/4 Vt M5/6) to M1 (E3/4 Vt M1) on sitting to 30 degrees. Unfortunately, due to ongoing chest sepsis and physical frailty, he was unable to undergo a cranioplasty. Therefore, to aid in clinical stabilisation, the treating physicians and clinical engineering teams designed and manufactured a prosthesis on-site, allowing rapid patient treatment. The prosthesis led to the patient being able to sit up to 30 degrees without the motor component of the GCS falling from M6 to M1 (E4 VT M6). CONCLUSION: Clinical improvements were demonstrated with definitive neurological improvement after applying the external cranial plate in clinical outcome measures and radiographically. Furthermore, we have shown that rapid prototyping technology provides a flexible solution to synthesise bespoke medical prostheses with the correct expertise and regulatory framework. Springer International Publishing 2021-11-12 /pmc/articles/PMC8588646/ /pubmed/34767106 http://dx.doi.org/10.1186/s41205-021-00123-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report H., Mee S., Greasley G., Whiting C., Harkin G., Oliver D., Marsden R., Andrews S., Sireau RD., Price F., Anwar IS., Timofeev PJ., Hutchinson PA., White A., Helmy 3D printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’ |
title | 3D printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’ |
title_full | 3D printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’ |
title_fullStr | 3D printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’ |
title_full_unstemmed | 3D printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’ |
title_short | 3D printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’ |
title_sort | 3d printed customised external cranial plate in a patient with syndrome of trephined: ‘a case report’ |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8588646/ https://www.ncbi.nlm.nih.gov/pubmed/34767106 http://dx.doi.org/10.1186/s41205-021-00123-7 |
work_keys_str_mv | AT hmee 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT sgreasley 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT gwhiting 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT charkin 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT goliver 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT dmarsden 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT randrews 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT ssireau 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT rdprice 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT fanwar 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT istimofeev 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT pjhutchinson 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT pawhite 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport AT ahelmy 3dprintedcustomisedexternalcranialplateinapatientwithsyndromeoftrephinedacasereport |