Syndrome of the sinking skin flap after ventriculoperitoneal shunt in the patients which were decompressive craniectomy: 4 cases report

  • Yen Nguyen Trong Bệnh viện Trung ương Quân đội 108
  • Lan Dang Hoai Bệnh viện Trung ương Quân đội 108

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Keywords

Craniectomy, cranioplasty, the sinking skin flap syndrome

Abstract

The syndrome of the sinking skin flap (SSFS) was first reported in 1977 by Yamamura et al. This is late and rare complication after large decompressive craniectomy. However, this syndrome could occurs soon after ventriculoperitoneal shunting treatment for hydrocephalus in which were decompressive craniectomy. Syndrome of the sinking skin flap often comes with the progressive neurological symptoms. We report clinical symptoms, diagnosis images and our treatment experience in 4 SSFS cases secondary to the ventriculoperitoneal shunt after craniectomy. Evaluate the our results and review other reports, we suggest that temporary occlusion of the ventriculoperitoneal shunt and early cranioplasty was an appropriate method to solve the SSFS.

Article Details

References

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