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A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient
Sinking skin flap syndrome is defined by a series of neurological symptoms with skin depression at the site of cranial defect. We experienced neurological improvement in a patient with markedly sunken craniectomy site after ventriculoperitoneal shunt (V-P shunt) clamping operation. A 17-year old fem...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Neurotraumatology Society
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607041/ https://www.ncbi.nlm.nih.gov/pubmed/33163436 http://dx.doi.org/10.13004/kjnt.2020.16.e19 |
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author | Kim, Howard Yang, Hoe Saeng Lee, Geun Su |
author_facet | Kim, Howard Yang, Hoe Saeng Lee, Geun Su |
author_sort | Kim, Howard |
collection | PubMed |
description | Sinking skin flap syndrome is defined by a series of neurological symptoms with skin depression at the site of cranial defect. We experienced neurological improvement in a patient with markedly sunken craniectomy site after ventriculoperitoneal shunt (V-P shunt) clamping operation. A 17-year old female patient was in vegetative state and spastic quadriplegia after traumatic brain injury. She was suffered from frequent vomiting. To evaluate central nervous system problem we checked brain computed tomography which showed that right frontotemporoparietal craniectomy area was markedly sunken and midline was shifting to the left. After V-P shunt clamping operation, craniectomy site was elevated and midline shifting was improved. Vomiting was disappeared. Coma Recovery Scale-revised (CRS-R) score was improved from 3 to 6. |
format | Online Article Text |
id | pubmed-7607041 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Neurotraumatology Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-76070412020-11-05 A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient Kim, Howard Yang, Hoe Saeng Lee, Geun Su Korean J Neurotrauma Case Report Sinking skin flap syndrome is defined by a series of neurological symptoms with skin depression at the site of cranial defect. We experienced neurological improvement in a patient with markedly sunken craniectomy site after ventriculoperitoneal shunt (V-P shunt) clamping operation. A 17-year old female patient was in vegetative state and spastic quadriplegia after traumatic brain injury. She was suffered from frequent vomiting. To evaluate central nervous system problem we checked brain computed tomography which showed that right frontotemporoparietal craniectomy area was markedly sunken and midline was shifting to the left. After V-P shunt clamping operation, craniectomy site was elevated and midline shifting was improved. Vomiting was disappeared. Coma Recovery Scale-revised (CRS-R) score was improved from 3 to 6. Korean Neurotraumatology Society 2020-06-10 /pmc/articles/PMC7607041/ /pubmed/33163436 http://dx.doi.org/10.13004/kjnt.2020.16.e19 Text en Copyright © 2020 Korean Neurotraumatology Society https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://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 Kim, Howard Yang, Hoe Saeng Lee, Geun Su A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient |
title | A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient |
title_full | A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient |
title_fullStr | A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient |
title_full_unstemmed | A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient |
title_short | A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient |
title_sort | case of “sinking skin flap syndrome” in vegetative state patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607041/ https://www.ncbi.nlm.nih.gov/pubmed/33163436 http://dx.doi.org/10.13004/kjnt.2020.16.e19 |
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