{"id":"https://openalex.org/W7225128757","doi":"https://doi.org/10.1080/09593985.2026.2757203","title":"Neurological and functional recovery despite persistent skull defect after decompressive hemicraniectomy: a case report","display_name":"Neurological and functional recovery despite persistent skull defect after decompressive hemicraniectomy: a case report","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7225128757","doi":"https://doi.org/10.1080/09593985.2026.2757203","pmid":"https://pubmed.ncbi.nlm.nih.gov/42971758"},"language":"en","primary_location":{"id":"doi:10.1080/09593985.2026.2757203","doi":"https://doi.org/10.1080/09593985.2026.2757203","is_oa":false,"landing_page_url":"https://doi.org/10.1080/09593985.2026.2757203","pdf_url":null,"source":{"id":"https://openalex.org/S177614173","display_name":"Physiotherapy Theory and Practice","issn_l":"0959-3985","issn":["0959-3985","1532-5040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Physiotherapy Theory and Practice","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012354359","display_name":"Koki Iwata","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I141882310","display_name":"Sapporo Medical University","ror":"https://ror.org/01h7cca57","country_code":"JP","type":"education","lineage":["https://openalex.org/I141882310"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Koki Iwata","raw_affiliation_strings":["Sapporo Hakuyokai Hospital","Sapporo Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sapporo Hakuyokai Hospital","institution_ids":[]},{"raw_affiliation_string":"Sapporo Medical University","institution_ids":["https://openalex.org/I141882310"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160358951","display_name":"Syunta Takami","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Syunta Takami","raw_affiliation_strings":["Sapporo Hakuyokai Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sapporo Hakuyokai Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160359471","display_name":"Kozue Onishi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kozue Onishi","raw_affiliation_strings":["Sapporo Hakuyokai Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sapporo Hakuyokai Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087818630","display_name":"Atsuo Saito","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Atsuo Saito","raw_affiliation_strings":["Sapporo Hakuyokai Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sapporo Hakuyokai Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022454304","display_name":"Ryoichi Furuta","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ryoichi Furuta","raw_affiliation_strings":["Sapporo Hakuyokai Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sapporo Hakuyokai Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160369600","display_name":"Takeshi Sasaki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I141882310","display_name":"Sapporo Medical University","ror":"https://ror.org/01h7cca57","country_code":"JP","type":"education","lineage":["https://openalex.org/I141882310"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takeshi Sasaki","raw_affiliation_strings":["Sapporo Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sapporo Medical University","institution_ids":["https://openalex.org/I141882310"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5049562753","display_name":"Kazuhiro Sugawara","orcid":"https://orcid.org/0000-0003-0803-9922","observed_orcids":["https://orcid.org/0000-0003-0803-9922"]},"institutions":[{"id":"https://openalex.org/I141882310","display_name":"Sapporo Medical University","ror":"https://ror.org/01h7cca57","country_code":"JP","type":"education","lineage":["https://openalex.org/I141882310"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kazuhiro Sugawara","raw_affiliation_strings":["Sapporo Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sapporo Medical University","institution_ids":["https://openalex.org/I141882310"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5012354359"],"corresponding_institution_ids":["https://openalex.org/I141882310"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83514195,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"1","last_page":"10"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.8740000128746033,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.8740000128746033,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":0.07280000299215317,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12622","display_name":"Neurosurgical Procedures and Complications","score":0.018300000578165054,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/decompressive-hemicraniectomy","display_name":"decompressive hemicraniectomy","score":0.9810000061988831},{"id":"https://openalex.org/keywords/skull-defects","display_name":"cranial defects","score":0.8410000205039978},{"id":"https://openalex.org/keywords/neurological-recovery","display_name":"neurological recovery","score":0.7490000128746033},{"id":"https://openalex.org/keywords/functional-recovery","display_name":"functional recovery","score":0.9929999709129333},{"id":"https://openalex.org/keywords/traumatic-brain-injury","display_name":"traumatic brain injury","score":0.7689999938011169},{"id":"https://openalex.org/keywords/post-traumatic-epilepsy","display_name":"post-traumatic epilepsy","score":0.4860000014305115}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8145999908447266},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5498999953269958},{"id":"https://openalex.org/C2779300802","wikidata":"https://www.wikidata.org/wiki/Q13147","display_name":"Skull","level":2,"score":0.5246000289916992},{"id":"https://openalex.org/C2777996791","wikidata":"https://www.wikidata.org/wiki/Q1458658","display_name":"Decompressive craniectomy","level":3,"score":0.4253000020980835},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3285999894142151},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.28619998693466187},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.24289999902248383},{"id":"https://openalex.org/C2778303738","wikidata":"https://www.wikidata.org/wiki/Q1971607","display_name":"Skull fracture","level":3,"score":0.24210000038146973},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.23810000717639923},{"id":"https://openalex.org/C16568411","wikidata":"https://www.wikidata.org/wiki/Q83042","display_name":"Neurology","level":2,"score":0.2313999980688095}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1080/09593985.2026.2757203","doi":"https://doi.org/10.1080/09593985.2026.2757203","is_oa":false,"landing_page_url":"https://doi.org/10.1080/09593985.2026.2757203","pdf_url":null,"source":{"id":"https://openalex.org/S177614173","display_name":"Physiotherapy Theory and Practice","issn_l":"0959-3985","issn":["0959-3985","1532-5040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Physiotherapy Theory and Practice","raw_type":"journal-article"},{"id":"pmid:42971758","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42971758","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Physiotherapy theory and practice","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W1572649344","https://openalex.org/W1969970029","https://openalex.org/W1991844979","https://openalex.org/W1999132411","https://openalex.org/W2053009990","https://openalex.org/W2059331478","https://openalex.org/W2068172379","https://openalex.org/W2096827732","https://openalex.org/W2099457690","https://openalex.org/W2104360789","https://openalex.org/W2135035338","https://openalex.org/W2151205920","https://openalex.org/W2505020180","https://openalex.org/W2754145207","https://openalex.org/W2797452152","https://openalex.org/W3170189592","https://openalex.org/W4200378315","https://openalex.org/W4323066917","https://openalex.org/W4386597713","https://openalex.org/W4412938602","https://openalex.org/W4413254959"],"related_works":["https://openalex.org/W2591519196","https://openalex.org/W2970739086","https://openalex.org/W2163576351","https://openalex.org/W3013750801","https://openalex.org/W4256376633","https://openalex.org/W4238186035","https://openalex.org/W2989975882","https://openalex.org/W3024923860","https://openalex.org/W4241247741","https://openalex.org/W4233335626"],"abstract_inverted_index":{"BACKGROUND:":[0],"Decompressive":[1],"hemicraniectomy":[2,114],"is":[3,16],"a":[4,27,50,65,91,94,266],"life-saving":[5],"procedure":[6],"for":[7,222],"malignant":[8],"cerebral":[9],"infarction":[10],"with":[11,26,93,106,115,153],"severe":[12],"edema.":[13],"Although":[14,270],"cranioplasty":[15],"performed":[17,120],"to":[18,74,184,189,199,208,217,234,293],"enhance":[19],"neurological":[20,43,54,80,170],"recovery,":[21],"longitudinal":[22,79],"descriptions":[23],"of":[24,37,131,146,173,273,286],"recovery":[25,275],"persistent":[28,66,95,267],"skull":[29,67,96,268],"defect":[30,68,97],"remain":[31],"scarce.":[32],"In":[33],"such":[34],"patients,":[35],"syndrome":[36],"the":[38,132,185,191,201,210,220,271],"trephined":[39],"(SoT)":[40],"may":[41],"impact":[42],"function":[44],"during":[45,179],"upright":[46,180],"activity.":[47,181],"We":[48],"present":[49],"patient":[51,92],"who":[52],"showed":[53],"and":[55,81,150,164,219,230,243,250,265,276,289,296],"functional":[56,82,251,297],"improvement":[57],"beyond":[58,84,255],"6":[59,85,157,256],"months":[60,86,158,257],"after":[61,87,98,159,258],"stroke":[62,88,160,259],"onset":[63,89],"despite":[64,261],"following":[69],"bone":[70,133],"flap":[71],"removal":[72,130],"due":[73],"infection.":[75],"OBJECTIVE:":[76],"To":[77],"describe":[78],"progression":[83],"in":[90,228,232,236,291],"decompressive":[99,113],"hemicraniectomy.":[100],"CASE":[101],"DESCRIPTION:":[102],"A":[103],"60-year-old":[104],"man":[105],"right":[107],"internal":[108,117],"carotid":[109],"artery":[110],"occlusion":[111],"underwent":[112],"extensive":[116,262],"decompression.":[118],"Cranioplasty":[119],"on":[121],"hospital":[122],"day":[123],"40":[124],"was":[125,177],"complicated":[126],"by":[127],"infection,":[128],"necessitating":[129],"flap.":[134],"INTERVENTION:":[135],"Intensive":[136],"inpatient":[137,186],"rehabilitation":[138,187,277,287],"included":[139],"postural":[140],"control":[141],"training,":[142,149],"transfer":[143],"practice,":[144],"activities":[145],"daily":[147],"living":[148],"cognitive-perceptual":[151],"interventions,":[152],"monitoring.":[154],"OUTCOMES:":[155],"Beyond":[156],"onset,":[161,260],"consciousness,":[162],"cognition,":[163],"mobility":[165],"improved.":[166],"No":[167],"reproducible":[168],"posture-dependent":[169],"worsening":[171],"suggestive":[172],"clinically":[174],"manifest":[175],"SoT":[176],"observed":[178,254],"From":[182],"admission":[183],"unit":[188],"discharge,":[190,240],"Glasgow":[192],"Coma":[193],"Scale":[194,221],"score":[195,205,214,225],"improved":[196],"from":[197,206,215,226],"12":[198],"14,":[200],"Hasegawa's":[202],"Dementia":[203],"Scale-Revised":[204],"13":[207],"23,":[209],"Behavioral":[211],"Inattention":[212],"Test":[213],"20":[216],"72,":[218],"Contraversive":[223],"Pushing":[224],"2.5":[227],"sitting":[229],"3":[231],"standing":[233],"0.25":[235],"both":[237],"positions.":[238],"At":[239],"wheelchair":[241],"transfers":[242],"toileting":[244],"required":[245],"minimal":[246],"assistance.":[247],"CONCLUSION:":[248],"Neurological":[249],"improvements":[252],"were":[253],"cortical":[263],"resection":[264],"defect.":[269],"contributions":[272],"biological":[274],"could":[278],"not":[279],"be":[280],"distinguished,":[281],"this":[282],"case":[283],"illustrates":[284],"adaptation":[285],"goals":[288],"priorities":[290],"response":[292],"evolving":[294],"clinical":[295],"barriers.":[298]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-03T00:00:00"}