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Neurological outcome of patients with decompressive craniectomy at discharge and after 6 months compared with somatosensory evoked potentials of the median nerve (M-SEP) before and after craniectomy |
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| Patient |
Neurological status (on demission) |
Neurological status (6 months post-trauma) |
M-SEP (prior to craniectomy) |
M-SEP (first week after craniectomy) |
|
|
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| 1 |
Normal |
Normal |
Not tested |
Moderate impairment (right) |
| 2 |
Normal |
Normal |
Severe impairment (right) |
Normal |
| 3 |
Left-sided hemiparesis, VP shunt (PTH) |
Distinct improvement of hemiparesis predominantly of the left arm, VP shunt removed |
Not tested |
Severe impairment (right) |
| 4 |
Central impairment of coordination with tremor and ataxia; predominantly right-sided spasticity; speech retardation |
Residual spasticity but not impaired in motor skills; visits a normal school |
Moderate impairment (right), severe impairment (left) |
Mild impairment (left) |
| 5 |
Normal |
Normal |
Not tested |
Normal |
| 6 |
Hemiparesis predominatly of the right arm; left-sided abducent nerve paresis; impairment of swallowing and speech |
Rehabilitation |
Mild impairment (right), moderate impairment (left) |
Severe impairment (left) |
|
PTH, post-traumatic hydrocephalus; VP shunt, ventriculo–peritoneal shunt. | ||||
Ruf et al. Critical Care 2003 7:R133 doi:10.1186/cc2361 |
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