Cranioplasty after Decompressive Craniectomy (DC) in a Patient with Intracerebral Hemorrhage after SARS-CoV-2 Vaccination-Related Vaccine-Induced Thrombotic Thrombocytopenia (VITT)—Proposal of a Management Protocol for This Rare Pathological Condition Article Swipe
Lennard Spanehl
,
Uwe Walter
,
Thomas Thiele
,
Daniel Dubinski
,
Bedjan Behmanesh
,
Thomas M. Freiman
,
Matthias Wittstock
,
Patrick Schuss
,
Hartmut Vatter
,
Matthias Schneider
,
Florian Geßler
,
Sae‐Yeon Won
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13164778
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13164778
The COVID-19 (coronavirus disease) pandemic had a severe impact on public health worldwide. A rare but serious complication after administration of adenoviral vaccines against SARS-CoV-2 (AstraZeneca–Oxford and Johnson & Johnson) is vaccine-induced immune thrombotic thrombocytopenia and thrombosis (VITT), which can lead to serious complications such as cerebral venous sinus thrombosis (CVST). CVST itself can cause subarachnoid hemorrhage (SAH) and/or intracerebral hemorrhage (ICH), leading to high mortality due to herniation of brain parenchyma. In those patients, an emergent decompressive hemicraniectomy (DC) is regularly performed. Herein, the authors want to focus on the patients who survive DC following VITT-associated CVST and shed light on the neurosurgical considerations in those patients. We herein propose a treatment algorithm regarding the timing and the perioperative management of cranioplasty. We describe an exemplary case highlighting that special circumstances may result in a more urgent need for autologous cranioplasty than usual, based on individual risk assessment.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm13164778
- OA Status
- gold
- Cited By
- 1
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401581341
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4401581341Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm13164778Digital Object Identifier
- Title
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Cranioplasty after Decompressive Craniectomy (DC) in a Patient with Intracerebral Hemorrhage after SARS-CoV-2 Vaccination-Related Vaccine-Induced Thrombotic Thrombocytopenia (VITT)—Proposal of a Management Protocol for This Rare Pathological ConditionWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-08-14Full publication date if available
- Authors
-
Lennard Spanehl, Uwe Walter, Thomas Thiele, Daniel Dubinski, Bedjan Behmanesh, Thomas M. Freiman, Matthias Wittstock, Patrick Schuss, Hartmut Vatter, Matthias Schneider, Florian Geßler, Sae‐Yeon WonList of authors in order
- Landing page
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https://doi.org/10.3390/jcm13164778Publisher landing page
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
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https://doi.org/10.3390/jcm13164778Direct OA link when available
- Concepts
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Medicine, Decompressive craniectomy, Intracerebral hemorrhage, Vaccination, Cranioplasty, Pathological, Coronavirus disease 2019 (COVID-19), Surgery, Pathology, Traumatic brain injury, Skull, Subarachnoid hemorrhage, Psychiatry, Infectious disease (medical specialty), DiseaseTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2024: 1Per-year citation counts (last 5 years)
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41Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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