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Intact intracranial breast prosthesis: a 28-year CT follow-up after treatment of late hemispherectomy complications.

Sorano V, Telesca M, Pediconi F, Bova D, Guidetti F - Childs Nerv Syst (2014)

Bottom Line: Several techniques have been consequently proposed to reduce the volume of the residual hemicranial cavity.We have demonstrated that this type of procedure can be carried out using a silicone breast prosthesis.In this report, we demonstrate also that such an implant can have a surprisingly long duration in its unusual location.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiological, Oncological and Pathological Sciences, University of Rome "Sapienza", Viale Regina Elena 324, 00161, Rome, Italy.

ABSTRACT
Anatomical hemispherectomy has had excellent results in treating drug-resistant seizures of infantile hemiplegia. This technique of hemispherectomy consists in the removal of a whole hemisphere, with or without the basal ganglia, the end result being a large cavity left at the end of the operation. The technique, however, is considered to be weighted by important complications, in particular intracranial hemorrhages due to vessels tearing secondary to dislodgement of the remaining hemisphere. Several techniques have been consequently proposed to reduce the volume of the residual hemicranial cavity. An alternative measure is the filling of the cavity itself. We have demonstrated that this type of procedure can be carried out using a silicone breast prosthesis. In this report, we demonstrate also that such an implant can have a surprisingly long duration in its unusual location.

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Axial CT from 1996 (a) and 2013 (b). Both CT show left hemispherectomy and filling-reduction cranioplasty. The left cavity is filled by a breast silicone implant covered by a metallic mesh. Medially to the implant, there is a calcified lyodura. Right V-P shunt is seen. The appearance on the 2013 CT (b) is unchanged comparing from the 1996 (a)
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Fig2: Axial CT from 1996 (a) and 2013 (b). Both CT show left hemispherectomy and filling-reduction cranioplasty. The left cavity is filled by a breast silicone implant covered by a metallic mesh. Medially to the implant, there is a calcified lyodura. Right V-P shunt is seen. The appearance on the 2013 CT (b) is unchanged comparing from the 1996 (a)

Mentions: The CT shows left hemispherectomy and a filling-reduction cranioplasty. The left hemicranium is filled by a breast silicone implant covered by a metallic mesh (Fig. 2).Fig. 2


Intact intracranial breast prosthesis: a 28-year CT follow-up after treatment of late hemispherectomy complications.

Sorano V, Telesca M, Pediconi F, Bova D, Guidetti F - Childs Nerv Syst (2014)

Axial CT from 1996 (a) and 2013 (b). Both CT show left hemispherectomy and filling-reduction cranioplasty. The left cavity is filled by a breast silicone implant covered by a metallic mesh. Medially to the implant, there is a calcified lyodura. Right V-P shunt is seen. The appearance on the 2013 CT (b) is unchanged comparing from the 1996 (a)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4305371&req=5

Fig2: Axial CT from 1996 (a) and 2013 (b). Both CT show left hemispherectomy and filling-reduction cranioplasty. The left cavity is filled by a breast silicone implant covered by a metallic mesh. Medially to the implant, there is a calcified lyodura. Right V-P shunt is seen. The appearance on the 2013 CT (b) is unchanged comparing from the 1996 (a)
Mentions: The CT shows left hemispherectomy and a filling-reduction cranioplasty. The left hemicranium is filled by a breast silicone implant covered by a metallic mesh (Fig. 2).Fig. 2

Bottom Line: Several techniques have been consequently proposed to reduce the volume of the residual hemicranial cavity.We have demonstrated that this type of procedure can be carried out using a silicone breast prosthesis.In this report, we demonstrate also that such an implant can have a surprisingly long duration in its unusual location.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiological, Oncological and Pathological Sciences, University of Rome "Sapienza", Viale Regina Elena 324, 00161, Rome, Italy.

ABSTRACT
Anatomical hemispherectomy has had excellent results in treating drug-resistant seizures of infantile hemiplegia. This technique of hemispherectomy consists in the removal of a whole hemisphere, with or without the basal ganglia, the end result being a large cavity left at the end of the operation. The technique, however, is considered to be weighted by important complications, in particular intracranial hemorrhages due to vessels tearing secondary to dislodgement of the remaining hemisphere. Several techniques have been consequently proposed to reduce the volume of the residual hemicranial cavity. An alternative measure is the filling of the cavity itself. We have demonstrated that this type of procedure can be carried out using a silicone breast prosthesis. In this report, we demonstrate also that such an implant can have a surprisingly long duration in its unusual location.

Show MeSH
Related in: MedlinePlus