AI Article Synopsis
- Sinking skin flap syndrome is a complication after craniectomy, leading to neurological issues that worsen when the patient is upright but improve after cranioplasty.
- A 33-year-old man exhibited hemiparesis in the upright position, and CT scans revealed significant brain displacement when upright compared to lying down.
- Post-cranioplasty, both the patient's symptoms and the brain's position returned to normal, highlighting the importance of upright CT scans to detect brain shifts in patients after a craniectomy.
Article Abstract
Sinking skin flap syndrome is a craniectomy complication characterized by new neurological dysfunction that typically worsens in the upright position and improves after cranioplasty. We present a 33-year-old man who experienced hemiparesis in the upright position after craniectomy. Upright computed tomography (CT) before cranioplasty showed a remarkable shift of the brain compared to supine CT. After cranioplasty, both symptoms and brain shift on CT resolved. Upright CT enables detection and objective evaluation of paradoxical herniation and midline shift that is not obvious on supine imaging modalities. Clinicians need to be aware of positional brain shift in postcraniectomy patients.
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| http://dx.doi.org/10.1007/s00701-020-04459-7 | DOI Listing |
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