Rapid Neurological Alteration Associated with Concave Deformity of the Skin Flap in a Craniectomized Patient. Case Report
Rapid neurological alteration was observed in association with concave deformity of the skin flap following a large decompressive craniectomy. In an erect position, hemiparesis and dysphasia showed marked deterioration with a sinking skin flap and CT-scan showed considerable distortion of the underl...
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Published in | Neurologia medico-chirurgica Vol. 20; no. 1; pp. 89 - 93 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Japan
The Japan Neurosurgical Society
1980
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Subjects | |
Online Access | Get full text |
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Summary: | Rapid neurological alteration was observed in association with concave deformity of the skin flap following a large decompressive craniectomy. In an erect position, hemiparesis and dysphasia showed marked deterioration with a sinking skin flap and CT-scan showed considerable distortion of the underlying brain tissue. Those changes were rapidly improved by restoration of normal curvature of the skin flap in a supine position. EEG findings coincided with such rapid alteration. Neurological changes may be due solely to concave deformity of the skin flap and the underlying brain tissue; this characteristic phenomenon might be described as “the syndrome of the sinking skin flap.” The presence of shunt system seems to play an important role in appearance of such a phenomenon. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 0470-8105 1349-8029 |
DOI: | 10.2176/nmc.20.89 |