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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/80f8/6409664/8da8d2febf8f/arm-2019-43-1-111f1.jpg

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本文引用的文献

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Importance of Early Cranioplasty in Reversing the "Syndrome of the Trephine/Motor Trephine Syndrome/Sinking Skin Flap Syndrome".
J Maxillofac Oral Surg. 2015 Sep;14(3):666-73. doi: 10.1007/s12663-014-0673-1. Epub 2014 Aug 12.
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