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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
SINKING SKIN FLAP SYNDROME: POST CRANIECTOMY COMPLICATION: A CASE REPORT
Author
Manish Gulia
Email
guliamanish14@gmail.com
keyword
Craniectomy, Neurologic deficit, Sinking skin flap syndrome.
Abstract
Sinking skin flap syndrome (SSFS) is defined as serious disabling neurologic deficit and impairment of neurological status, with concave deformity and relaxation of the craniectomy skin flap which tends to develop several weeks to months after large craniectomy. The pathophysiology includes cerebrospinal fluid (CSF) hypovolemia and development of an atmospheric pressure gradient, that may be aggravated by CSF diversion, dehydration, and patients posture. The goal of treatment in patient with the syndrome of the sinking skin flap is restoration of the pressure exerted by depression of craniectomy site. Abbreviations SSFS – Sunken skin flap syndrome NCCT – Non contrast computed tomography GCS – Glasgow coma scale
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