Sinking skin flap syndrome visualized by upright computed tomography

Keisuke Yoshida, Masahiro Toda, Yoshitake Yamada, Minoru Yamada, Yoichi Yokoyama, Hirokazu Fujiwara, Kenzo Kosugi, Mariko Fukumura, Kazunari Koike, Satoshi Takahashi, Kazunari Yoshida, Masahiro Jinzaki

研究成果: Article査読

1 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1825-1828
ページ数4
ジャーナルActa Neurochirurgica
162
8
DOI
出版ステータスPublished - 2020 8 1

ASJC Scopus subject areas

  • 外科
  • 臨床神経学

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