Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases

Decompressive craniectomy (DC) is commonly performed in patients with intracranial hypertension or brain edema due to traumatic brain injury. Infrequently, neurologic deteriorations accompanied by sunken scalp may occur after DC. We report two patients with traumatic subdural hemorrhage who had neur...

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Autores principales: Park, Hae-Yeon, Kim, Sehee, Kim, Joon-Sung, Lim, Seong Hoon, Kim, Young Il, Lee, Dong Hoon, Hong, Bo Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409664/
https://www.ncbi.nlm.nih.gov/pubmed/30852878
http://dx.doi.org/10.5535/arm.2019.43.1.111
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author Park, Hae-Yeon
Kim, Sehee
Kim, Joon-Sung
Lim, Seong Hoon
Kim, Young Il
Lee, Dong Hoon
Hong, Bo Young
author_facet Park, Hae-Yeon
Kim, Sehee
Kim, Joon-Sung
Lim, Seong Hoon
Kim, Young Il
Lee, Dong Hoon
Hong, Bo Young
author_sort Park, Hae-Yeon
collection PubMed
description Decompressive craniectomy (DC) is commonly performed in patients with intracranial hypertension or brain edema due to traumatic brain injury. Infrequently, neurologic deteriorations accompanied by sunken scalp may occur after DC. We report two patients with traumatic subdural hemorrhage who had neurologic deteriorations accompanied by sunken scalp after DC. Neurologic function improved dramatically in both patients after cranioplasty. Monitoring for neurologic deterioration after craniectomy is advised. For patients showing neurologic deficit with a sunken scalp, early cranioplasty should be considered.
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spelling pubmed-64096642019-03-15 Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases Park, Hae-Yeon Kim, Sehee Kim, Joon-Sung Lim, Seong Hoon Kim, Young Il Lee, Dong Hoon Hong, Bo Young Ann Rehabil Med Case Report Decompressive craniectomy (DC) is commonly performed in patients with intracranial hypertension or brain edema due to traumatic brain injury. Infrequently, neurologic deteriorations accompanied by sunken scalp may occur after DC. We report two patients with traumatic subdural hemorrhage who had neurologic deteriorations accompanied by sunken scalp after DC. Neurologic function improved dramatically in both patients after cranioplasty. Monitoring for neurologic deterioration after craniectomy is advised. For patients showing neurologic deficit with a sunken scalp, early cranioplasty should be considered. Korean Academy of Rehabilitation Medicine 2019-02 2019-02-28 /pmc/articles/PMC6409664/ /pubmed/30852878 http://dx.doi.org/10.5535/arm.2019.43.1.111 Text en Copyright © 2019 by Korean Academy of Rehabilitation Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Park, Hae-Yeon
Kim, Sehee
Kim, Joon-Sung
Lim, Seong Hoon
Kim, Young Il
Lee, Dong Hoon
Hong, Bo Young
Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases
title Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases
title_full Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases
title_fullStr Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases
title_full_unstemmed Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases
title_short Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases
title_sort sinking skin flap syndrome or syndrome of the trephined: a report of two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6409664/
https://www.ncbi.nlm.nih.gov/pubmed/30852878
http://dx.doi.org/10.5535/arm.2019.43.1.111
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