Han Pan Yeal, Kim Jae Hoon, Kang Hee In, Kim Joo Seung
Department of Neurosurgery, Eulji University, Eulji Hospital, Seoul, Korea.
J Korean Neurosurg Soc. 2008 Jan;43(1):51-3. doi: 10.3340/jkns.2008.43.1.51. Epub 2008 Jan 20.
The syndrome of the sinking skin flap was introduced to explain the phenomenon of neurological deterioration after decompressive craniectomy. A 37-year-old man was admitted with acute subdural hematoma and traumatic intraparenchymal hematoma. After decompressive craniectomy, the patient suffered from hydrocephalus for which a ventriculoperitoneal (V-P) shunt was inserted. Following this procedure, the depression of the skin flap became remarkable and his mentation was deteriorated. The patient recovered uneventfully after temporary elevating of valve pressure and cranioplasty. We present a patient who was successfully managed with elevation of valve pressure and cranioplasty for the syndrome of the sinking scalp flap with review of a pertinent literature.
下沉皮瓣综合征被用来解释减压性颅骨切除术后神经功能恶化的现象。一名37岁男性因急性硬膜下血肿和创伤性脑实质内血肿入院。减压性颅骨切除术后，患者出现脑积水并接受了脑室腹腔分流术。在此手术后，皮瓣凹陷变得明显，其精神状态恶化。在临时提高分流阀压力和颅骨成形术后，患者顺利康复。我们报告一例通过提高分流阀压力和颅骨成形术成功治疗下沉头皮瓣综合征的患者，并复习相关文献。
