{"id":"a085f7c9-352a-45e7-800b-633420e58b53","slug":"cranial-autologous-bone-flap-resorption-after-a-cranioplasty-a-case-report","title":"Cranial autologous bone flap resorption after a cranioplasty: A case report","authors":["Sabrina A. de França","Thales B. Nepomuceno","Wellingson S. Paiva","Almir F. Andrade","Manoel J. Teixeira","Wagner M. Tavares"],"abstract":"Background: Craniectomies and cranioplasty are common neurosurgical procedures performed after brain trauma, ischemia, tumor resection, or infection. Post-cranioplasty autologous bone flap resorption may occur in patients after delayed cranial reconstruction. The occurrence is usually low when bone flaps are stored in subcutaneous abdominal tissue. We report a unique case of post-cranioplasty cranial bone flap. Case Description: We report a total autologous bone flap resorption in a 28-year-old man with a history of alcohol abuse. He was found unconscious in his bedroom with a head trauma of unknown mechanism. After an emergency room assessment, he was diagnosed with an acute subdural hematoma and underwent to emergency surgical drainage and a craniectomy. Three months later, a cranioplasty was performed and he exhibited exceptional outcomes. During a follow-up assessment, 7 months post-cranioplasty, total bone flap resorption was observed on computerized tomography image. Conclusion: This case described an abnormal accelerated resorption of an autologous bone flap cranioplasty inserted after 3 months. Thus, to avoid bone flap resorption, an as early as possibly strategy may prevent this. Still, the exact mechanisms underlying bone resorption are poorly understood.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/a085f7c9-352a-45e7-800b-633420e58b53/featured/hero-1782420877552.png","publishDate":"2018-03-19T00:00:00.000Z","doi":"10.4103/sni.sni_388_17","categories":["Trauma","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/a085f7c9-352a-45e7-800b-633420e58b53/pdf"}