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Sinking Skin Flap Syndrome: Rare Stroke Mimic

Bindu Kesarmal
Dr. Bindu Kesaramal Stroke Medicine Registrar, Department of Stroke Medicine, Dudley Group of Hospitals NHS Foundation Trust, Dudley, DY12HQ.
Abdul Salam
Dr. Abdul Salam, Consultant Physician in Stroke Medicine and GIM, Department of Stroke Medicine, Dudley Group of Hospitals NHS Foundation Trust, Dudley, DY12HQ.
Ashim Banerjee
Dr. Ashim Banerjee, Consultant Physician on Stroke Medicine and Cardiovascular Medicine, Department of Stroke Medicine, Dudley Group of Hospitals NHS Foundation Trust, Dudley, DY12HQ.

Abstract

Sinking flap syndrome is a delayed and rare complication post-craniectomy for patients requiring intracranial intervention, such as traumatic brain injury, subdural hematoma, and intracranial haemorrhage. Several weeks post-procedure, patients can present with varying symptoms, including headache, nausea, vomiting, and, in some cases, focal motor and sensory deficits. Early diagnosis through clinical evaluation and imaging in post-craniectomy patients is important to prevent further neurological deterioration and complications.

Keywords

Sinking Skin Flap Syndrome, Post-craniectomy Complications, Neurological Decline, Titanium Cranioplasty, Intracranial Pressure, Stroke Mimic.

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