Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Reperfusion Injury after Autologous Cranioplasty in a Patient with Sinking Skin Flap Syndrome

  • Kwon, Sae-Min (Department of Neurosurgery, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Cheong, Jin-Hwan (Department of Neurosurgery, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Kim, Jae-Min (Department of Neurosurgery, Hanyang University Guri Hospital, Hanyang University College of Medicine) ;
  • Kim, Choong-Hyun (Department of Neurosurgery, Hanyang University Guri Hospital, Hanyang University College of Medicine)
  • Received : 2011.05.25
  • Accepted : 2012.02.07
  • Published : 2012.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

The sinking skin flap syndrome is a rare complication after a large craniectomy. It consists of a sunken skin above the bone defect with neurological symptoms such as severe headache, mental changes, focal deficits, or seizures. In patient with sinking skin flap syndrome, cerebral blood flow and cerebral metabolism are decreased by sinking skin flap syndrome, and it may cause the deterioration of autoregulation of brain. We report a case of a patient with sinking skin flap syndrome who suffered from reperfusion injury after cranioplasty with review of pertinent literature.

Keywords

References

  1. Cecchi PC, Rizzo P, Campello M, Schwarz A : Haemorrhagic infarction after autologous cranioplasty in a patient with sinking flap syndrome. Acta Neurochir (Wien) 150 : 409-410; discussion 411, 2008 https://doi.org/10.1007/s00701-007-1459-8
  2. Cho H, Kim CH, Kim JH, Kim JM : Paradoxical herniation after decompressive craniectomy for acute subdural hematoma. J Korean Neurosurg Soc 40 : 51-53, 2006
  3. Gooch MR, Gin GE, Kenning TJ, German JW : Complications of cranioplasty following decompressive craniectomy : analysis of 62 cases. Neurosurg Focus 26 : E9, 2009
  4. Isago T, Nozaki M, Kikuchi Y, Honda T, Nakazawa H : Sinking skin flap syndrome : a case of improved cerebral blood flow after cranioplasty. Ann Plast Surg 53 : 288-292, 2004 https://doi.org/10.1097/01.sap.0000106433.89983.72
  5. Richaud J, Boetto S, Guell A, Lazorthes Y : [Effects of cranioplasty on neurological function and cerebral blood flow]. Neurochirurgie 31 : 183-188, 1985
  6. Sarov M, Guichard JP, Chibarro S, Guettard E, Godin O, Yelnik A, et al. : Sinking skin flap syndrome and paradoxical herniation after hemicraniectomy for malignant hemispheric infarction. Stroke 41 : 560-562, 2010 https://doi.org/10.1161/STROKEAHA.109.568543
  7. Yoshida K, Furuse M, Izawa A, Iizima N, Kuchiwaki H, Inao S : Dynamics of cerebral blood flow and metabolism in patients with cranioplasty as evaluated by 133Xe CT and 31P magnetic resonance spectroscopy. J Neurol Neurosurg Psychiatry 61 : 166-171, 1996 https://doi.org/10.1136/jnnp.61.2.166

Cited by

  1. Sinking skin flap syndrome with delayed dysautonomic syndrome—An atypical presentation ☆ vol.4, pp.11, 2012, https://doi.org/10.1016/j.ijscr.2013.08.013
  2. Lid Cranioplasty: An Elegant Method of Calvarial Reconstruction vol.25, pp.6, 2012, https://doi.org/10.1097/scs.0000000000001021
  3. Unexpected Severe Cerebral Edema after Cranioplasty : Case Report and Literature Review vol.58, pp.1, 2012, https://doi.org/10.3340/jkns.2015.58.1.76
  4. Sinking skin flap syndrome (or Syndrome of the trephined): A review vol.29, pp.3, 2015, https://doi.org/10.3109/02688697.2015.1012047
  5. 頭蓋形成術直後の予期せぬ合併症について(Unexpected complications immediately after cranioplasty) vol.27, pp.5, 2012, https://doi.org/10.1002/jja2.12096
  6. Radiological signs of the syndrome of the trephined vol.58, pp.6, 2012, https://doi.org/10.1007/s00234-016-1651-8
  7. Intracerebral Hemorrhagic Infarction after Cranioplasty in a Patient with Sinking Skin Flap Syndrome vol.12, pp.2, 2016, https://doi.org/10.13004/kjnt.2016.12.2.152
  8. Longitudinal Dynamics of 3-Dimensional Components of Selfhood After Severe Traumatic Brain Injury: A qEEG Case Study vol.48, pp.5, 2012, https://doi.org/10.1177/1550059417696180
  9. Fatal cerebral swelling immediately after cranioplasty: A case report vol.8, pp.1, 2012, https://doi.org/10.4103/sni.sni_137_17
  10. Unexpected complications immediately after cranioplasty vol.4, pp.3, 2017, https://doi.org/10.1002/ams2.260
  11. Intracerebral hemorrhage after cranioplasty: an unpredictable treacherous complication due to reperfusion or possible systemic inflammatory response syndrome vol.39, pp.5, 2012, https://doi.org/10.1007/s10072-017-3225-x
  12. Sinking Skin Flap Syndrome and Paradoxical Herniation Provoked by a Malfunction of External Lumbar Drainage and CSF Leak vol.19, pp.3, 2019, https://doi.org/10.2478/acm-2019-0014
  13. Cranial Vault Defects and Deformities Resulting from Combat-Related Gunshot, Blast and Splinter Injuries: How Best to Deal with Them vol.19, pp.2, 2020, https://doi.org/10.1007/s12663-019-01258-1