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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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2019-02-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-2019-43-1-111.pdf |
| _version_ | 1797723064947965952 |
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| author | Hae-Yeon Park Sehee Kim Joon-Sung Kim Seong Hoon Lim Young Il Kim Dong Hoon Lee Bo Young Hong |
| author_facet | Hae-Yeon Park Sehee Kim Joon-Sung Kim Seong Hoon Lim Young Il Kim Dong Hoon Lee Bo Young Hong |
| author_sort | Hae-Yeon Park |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-12T09:56:42Z |
| format | Article |
| id | doaj.art-ae929057ce0c46ad93500ee8ca187c12 |
| institution | Directory Open Access Journal |
| issn | 2234-0645 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T09:56:42Z |
| publishDate | 2019-02-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-ae929057ce0c46ad93500ee8ca187c122023-09-02T12:08:30ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532019-02-0143111111410.5535/arm.2019.43.1.1114071Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two CasesHae-Yeon Park0Sehee Kim1Joon-Sung Kim2Seong Hoon Lim3Young Il Kim4Dong Hoon Lee5Bo Young Hong6 Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Neurosurgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Neurosurgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDecompressive 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.http://www.e-arm.org/upload/pdf/arm-2019-43-1-111.pdfTraumatic brain injuriesDecompressive craniectomyNeurologic manifestations |
| spellingShingle | Hae-Yeon Park Sehee Kim Joon-Sung Kim Seong Hoon Lim Young Il Kim Dong Hoon Lee Bo Young Hong Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases Annals of Rehabilitation Medicine Traumatic brain injuries Decompressive craniectomy Neurologic manifestations |
| 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 | Traumatic brain injuries Decompressive craniectomy Neurologic manifestations |
| url | http://www.e-arm.org/upload/pdf/arm-2019-43-1-111.pdf |
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