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Ann Rehabil Med. 2019 Feb;43(1):111-114. English. Case Report. https://doi.org/10.5535/arm.2019.43.1.111
Park HY , Kim S , Kim JS , Lim SH , Kim YI , Lee DH , Hong BY .
Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. byhong@catholic.ac.kr
Department of Neurosurgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract

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.

Copyright © 2019. Korean Association of Medical Journal Editors.