Sinking Skin Flap Syndrome: Rare Stroke Mimic

Authors

  • 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.

Keywords:

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

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.

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Published

2024-03-01