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KMID : 1143720230190030376
Korean Journal of Neurotrauma
2023 Volume.19 No. 3 p.376 ~ p.383
Acute Onset of Syndrome of the Trephined After Lumboperitoneal Shunt Placement: A Case Report
Jeon Min-Je

Kim Sung-Tae
Abstract
Decompressive craniectomy is widely recognized as a life-saving emergency operation for the treatment of increased intracranial pressure; however, it can lead to severe complications, such as ¡°syndrome of the trephined.¡± Cerebrospinal fluid diversion, particularly after lumboperitoneal shunting, can affect the occurrence of this disease and worsen the symptoms. We report an acute case of this syndrome after lumboperitoneal shunting in a patient who had previously undergone decompressive craniectomy. The patient rapidly fell from a Glasgow Coma Scale (GCS) of 14 to a comatose state and a GCS of 4 only in 2 days. After cranioplasty, the patient recovered fully; however, this took a prolonged period.
KEYWORD
Decompressive craniectomy, Cerebrospinal fluid shunt, Hydrocephalus, Craniotomy, Intracranial hypotension
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