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Updated: Jul 12, 2025

Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
Effect of cranioplasty on FIM in patients with severe cerebral infarction after cerebral decompression
Nobuyuki Arai1, Yasumasa Abe1, Hiromichi Metani1
1Department of Rehabilitation Medicine, Kawasaki Medical School, Okayama, Japan.
Abstract:
Arai N, Abe Y, Metani H, Hiraoka T, Hanayama K. Effect of cranioplasty on FIM in patients with severe cerebral infarction after cerebral decompression. Jpn J Compr Rehabil Sci 2023; 14: 33-38.
Objective:
The functional effects of cranioplasty were measured in patients with severe cerebral infarction who had undergone cerebral decompression by comparing the functional independence measure (FIM) during convalescent rehabilitation before and after cranioplasty.
Methods:
The study design was a single-center retrospective cohort study.
Results:
Fifty-five patients underwent cerebral decompression after cerebral infarction at our hospital, six of whom were included in this study. Two patients who exhibited cranial depression had no changes in FIM one month prior to cranioplasty. However, the FIM increased one month postoperatively. These patients showed a large increase in the scores for movement and transfer.
Discussion:
Cranioplasty may play a role in improving ability during convalescent rehabilitation in patients with severe cerebral infarction who undergo cerebral decompression, especially in movement and transfer items.
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