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Syndrome of the Trephined J Neurosurg 111:650-652, Joseph, V. & Reilly, P., 2009 See this aricle in Pubmed Article Abstract "Syndrome of the trephined" or "sinking skin flap syndrome" is an unusual syndrome in which neurological deterioration occurs following removal of a large skull bone flap. The neurological status of the patient can occasionally be strongly related to posture. A 77-year-old male patient with an acute subdural hematoma was treated using a hemicraniectomy and evacuation of the hematoma. On the 9th postoperative day there was deterioration in sensorium and filling up of the scalp flap occurred after maintaining the patients head in a dependent position. The patient subsequently made an excellent recovery following replacement of the bone flap. The pathophysiology of "syndrome of the trephined" or "sinking skin flap syndrome" is reviewed.

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(click to filter results - removes previous filter) complications craniectomy,decompressive neurologic complications of,surgery postural abnormality progressive neurologic disorder syndrome of the sinking skin flap treatment of neurologic disorder

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