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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...

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Detalles Bibliográficos
Autores principales: Kim, Howard, Yang, Hoe Saeng, Lee, Geun Su
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2020
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.
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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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