Background And Importance: The authors report a novel external scalp retraction technique for sunken skin flap syndrome (SSFS).
Clinical Presentation: A 48-year-old male patient suffered neurological deterioration due to SSFS after decompressive craniectomy. Cranioplasty is the gold standard for therapeutic management of SSFS, but could not be performed due to intracranial wound infection. The patient underwent external fixation of a metal plate as a frame for the skull and the scalp was pulled outward to the frame by skin suture. The patient returned to daily activities at home for 3 months with this scalp traction frame, which was needed for infection control.
Conclusion: External scalp traction is useful for the temporary relief of pressure caused by SSFS.
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http://dx.doi.org/10.1093/ons/opx036 | DOI Listing |
Korean J Neurotrauma
June 2024
Department of Neurosurgery, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Objective: Cranioplasty (CP) is used to repair cranial defects after decompressive craniectomy. During this procedure, the temporal muscle can contract or retract toward the base and adhere to the scalp flaps above and/or below the dura. Several complications including functional and cosmetic problems can occur following CP.
View Article and Find Full Text PDFFront Neurol
April 2024
Albany Medical Center, Albany, NY, United States.
Achieving seizure freedom following failure of several antiseizure medications (ASMs) is rare, with the likelihood of achieving further control decreasing with each successive ASM trial. When cases of drug-resistant epilepsy arise, a diagnostic procedure known as stereoelectroencephalography (sEEG) can be used to identify epileptogenic zones (EZ) within the brain. After localization of these zones, they can be targeted for future surgical intervention.
View Article and Find Full Text PDFWorld Neurosurg
November 2023
Department of Neurosurgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China; Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:
Objective: To provide further information on the identification of the occipital artery (OA) and suggest an improved approach to its anterograde dissection technique for harvesting.
Methods: Six cadaveric specimens were prepared for surgical simulation, and the anterograde approach was used to harvest the OA; a hockey stick incision was made from the C2 spinous process through the nuchal ligament to the mastoid tip. By retracting the scalp flap from the posterior arch of C2 to the transverse process, the suboccipital triangle was reflected by a single myocutaneous flap from the inferior nuchal line.
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