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KMID : 1140920190430010111
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Annals of Rehabilitation Medicine
2019 Volume.43 No. 1 p.111 ~ p.114
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Sinking Skin Flap Syndrome or Syndrome of the Trephined: A Report of Two Cases
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Park Hae-Yeon
Kim Se-Hee
Kim Joon-Sung
Lim Seong-Hoon
Kim Young-Il
Lee Dong-Hoon
Hong Bo-Young
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Abstract
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Decompressive craniectomy (DC) is commonly performed in patients with intracranial hypertension or brain edema due to traumatic brain injury. Infrequently, neurologic deteriorations accompanied by sunken scalp may occur after DC. We report two patients with traumatic subdural hemorrhage who had neurologic deteriorations accompanied by sunken scalp after DC. Neurologic function improved dramatically in both patients after cranioplasty. Monitoring for neurologic deterioration after craniectomy is advised. For patients showing neurologic deficit with a sunken scalp, early cranioplasty should be considered.
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KEYWORD
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Traumatic brain injuries, Decompressive craniectomy, Neurologic manifestations
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