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Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases.

作者信息

Park Hae-Yeon, Kim Sehee, Kim Joon-Sung, Lim Seong Hoon, Kim Young Il, Lee Dong Hoon, Hong Bo Young

机构信息

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.

出版信息

Ann Rehabil Med. 2019 Feb;43(1):111-114. doi: 10.5535/arm.2019.43.1.111. Epub 2019 Feb 28.

DOI:10.5535/arm.2019.43.1.111
PMID:30852878
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6409664/
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.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f8/6409664/a845fb06e20a/arm-2019-43-1-111f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f8/6409664/8da8d2febf8f/arm-2019-43-1-111f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f8/6409664/a845fb06e20a/arm-2019-43-1-111f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f8/6409664/8da8d2febf8f/arm-2019-43-1-111f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f8/6409664/a845fb06e20a/arm-2019-43-1-111f2.jpg

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本文引用的文献

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Effects of Early Cranioplasty on the Restoration of Cognitive and Functional Impairments.早期颅骨修补术对认知和功能障碍恢复的影响。
Ann Rehabil Med. 2017 Jun;41(3):354-361. doi: 10.5535/arm.2017.41.3.354. Epub 2017 Jun 29.
2
Decompressive Craniectomy in Patients with Traumatic Brain Injury: Are the Usual Indications Congruent with Those Evaluated in Clinical Trials?创伤性脑损伤患者的减压性颅骨切除术：常见指征与临床试验中评估的指征一致吗？
Neurocrit Care. 2016 Aug;25(1):10-9. doi: 10.1007/s12028-015-0232-8.
3
Letter to the Editor: Cranioplasty complications and the timing of surgery.
J Neurosurg. 2016 Jan;124(1):280-1. doi: 10.3171/2015.6.JNS151378. Epub 2015 Oct 23.
4
Importance of Early Cranioplasty in Reversing the "Syndrome of the Trephine/Motor Trephine Syndrome/Sinking Skin Flap Syndrome".早期颅骨修补术在逆转“环锯综合征/动力性环锯综合征/凹陷性皮瓣综合征”中的重要性。
J Maxillofac Oral Surg. 2015 Sep;14(3):666-73. doi: 10.1007/s12663-014-0673-1. Epub 2014 Aug 12.
5
Early cranioplasty vs. late cranioplasty for the treatment of cranial defect: A systematic review.早期颅骨修补术与晚期颅骨修补术治疗颅骨缺损的系统评价。
Clin Neurol Neurosurg. 2015 Sep;136:33-40. doi: 10.1016/j.clineuro.2015.05.031. Epub 2015 May 29.
6
Complications Associated with Decompressive Craniectomy: A Systematic Review.减压性颅骨切除术相关并发症：一项系统综述
Neurocrit Care. 2015 Oct;23(2):292-304. doi: 10.1007/s12028-015-0144-7.
7
Sinking skin flap syndrome (or Syndrome of the trephined): A review.皮肤瓣下陷综合征（或环钻综合征）：综述
Br J Neurosurg. 2015 Jun;29(3):314-8. doi: 10.3109/02688697.2015.1012047. Epub 2015 Feb 27.
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Traumatic brain injury: a disease process, not an event.创伤性脑损伤：一种疾病过程，而不是一个事件。
J Neurotrauma. 2010 Aug;27(8):1529-40. doi: 10.1089/neu.2010.1358.
9
Neurological deficits in the presence of the sinking skin flap following decompressive craniectomy.
Neurol Med Chir (Tokyo). 1977;17(1 Pt 1):43-53. doi: 10.2176/nmc.17pt1.43.