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Case Reports
. 2012 Feb;51(2):117-9.
doi: 10.3340/jkns.2012.51.2.117. Epub 2012 Feb 29.

Reperfusion injury after autologous cranioplasty in a patient with sinking skin flap syndrome

Sae Min Kwon  1 , Jin Hwan Cheong, Jae Min Kim, Choong Hyun Kim
Affiliations
Case Reports

Reperfusion injury after autologous cranioplasty in a patient with sinking skin flap syndrome

Sae Min Kwon et al. J Korean Neurosurg Soc. 2012 Feb.

Abstract

The sinking skin flap syndrome is a rare complication after a large craniectomy. It consists of a sunken skin above the bone defect with neurological symptoms such as severe headache, mental changes, focal deficits, or seizures. In patient with sinking skin flap syndrome, cerebral blood flow and cerebral metabolism are decreased by sinking skin flap syndrome, and it may cause the deterioration of autoregulation of brain. We report a case of a patient with sinking skin flap syndrome who suffered from reperfusion injury after cranioplasty with review of pertinent literature.

Keywords: Cranioplasty; Reperfusion injury; Sinking skin flap syndrome.

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Figures

Fig. 1
Fig. 1
Brain computed tomography scan on admission which shows large subarachnoid hemorrhage, intracerebral hemorrhage, and intraventricular hemorrhage.
Fig. 2
Fig. 2
CT scan of brain 2 months after craniectomy with severe skin depression at the site of craniectomy with shifting of the midline structures.
Fig. 3
Fig. 3
Brain CT scan showing the intracerebral hemorrhage and intraventricular hemorrhage after cranioplasty.
See this image and copyright information in PMC

References

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