Korean J Neurotrauma.
2020 Oct;16(2):266-272. 10.13004/kjnt.2020.16.e19.
A Case of “Sinking Skin Flap Syndrome” in Vegetative State Patient
- Affiliations
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- 1Department of Medicine, Graduate School, Dongguk University, Gyeongju, Korea
- 2Department of Obstetrics and Gynecology, Dongguk University College of Medicine, Gyeongju, Korea
- 3Department of Rehabilitation Medicine, Kwangju Christian Hospital, Gwangju, Korea
- KMID: 2523134
- DOI: http://doi.org/10.13004/kjnt.2020.16.e19
Abstract
- Sinking skin flap syndrome is defined by a series of neurological symptoms with skin depression at the site of cranial defect. We experienced neurological improvement in a patient with markedly sunken craniectomy site after ventriculoperitoneal shunt (V-P shunt) clamping operation. A 17-year old female patient was in vegetative state and spastic quadriplegia after traumatic brain injury. She was suffered from frequent vomiting. To evaluate central nervous system problem we checked brain computed tomography which showed that right frontotemporoparietal craniectomy area was markedly sunken and midline was shifting to the left. After V-P shunt clamping operation, craniectomy site was elevated and midline shifting was improved. Vomiting was disappeared. Coma Recovery Scale-revised (CRS-R) score was improved from 3 to 6.
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