Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases
10.5535/arm.2019.43.1.111
- Author:
Hae Yeon PARK
1
;
Sehee KIM
;
Joon Sung KIM
;
Seong Hoon LIM
;
Young Il KIM
;
Dong Hoon LEE
;
Bo Young HONG
Author Information
1. Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. byhong@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Traumatic brain injuries;
Decompressive craniectomy;
Neurologic manifestations
- MeSH:
Brain Edema;
Brain Injuries;
Decompressive Craniectomy;
Hematoma, Subdural;
Humans;
Intracranial Hypertension;
Neurologic Manifestations;
Scalp;
Skin
- From:Annals of Rehabilitation Medicine
2019;43(1):111-114
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
