Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.ijscr.2013.08.013 http://hdl.handle.net/11449/76835 |
Resumo: | INTRODUCTION Sinking skin flap syndrome or syndrome of the trephined is a rare complication after a large craniectomy, with a sunken skin above the bone defect with neurological symptoms such as severe headache, mental changes, focal deficits, or seizures. PRESENTATION OF CASE We report a case of 21 years old man with trefinated syndrome showing delayed dysautonomic changes. DISCUSSION Our patient had a large bone flap defect and a VP shunt that constitute risk factors to develop this syndrome. Also, there is reabsorption of bone tissue while it is placed in subcutaneous tissue. The principal symptoms of sinking skin flap syndrome are severe headache, mental changes, focal deficits, or seizures. Our patient presented with a delayed dysautonomic syndrome, with signs and symptoms very characteristics. Only few cases of this syndrome were related in literature and none were presented with dysautonomic syndrome. CONCLUSION We reported here a very uncommon case of sinking skill flap syndrome that causes a severe dysautonomic syndrome and worsening the patient condition. © 2013 The Authors. |
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Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentationDysautonomic syndromeSinking skin flap syndromeTrefinatedINTRODUCTION Sinking skin flap syndrome or syndrome of the trephined is a rare complication after a large craniectomy, with a sunken skin above the bone defect with neurological symptoms such as severe headache, mental changes, focal deficits, or seizures. PRESENTATION OF CASE We report a case of 21 years old man with trefinated syndrome showing delayed dysautonomic changes. DISCUSSION Our patient had a large bone flap defect and a VP shunt that constitute risk factors to develop this syndrome. Also, there is reabsorption of bone tissue while it is placed in subcutaneous tissue. The principal symptoms of sinking skin flap syndrome are severe headache, mental changes, focal deficits, or seizures. Our patient presented with a delayed dysautonomic syndrome, with signs and symptoms very characteristics. Only few cases of this syndrome were related in literature and none were presented with dysautonomic syndrome. CONCLUSION We reported here a very uncommon case of sinking skill flap syndrome that causes a severe dysautonomic syndrome and worsening the patient condition. © 2013 The Authors.Division of Neurosurgery Botucatu Medical School São Paulo State University, BotucatuHospital das Clínicas UNESP, BotucatuDivision of Neurosurgery Botucatu Medical School São Paulo State University, BotucatuHospital das Clínicas UNESP, BotucatuUniversidade Estadual Paulista (Unesp)Romero, Flávio Ramalho [UNESP]Zanini, Marco Antonio [UNESP]Ducati, Luis Gustavo [UNESP]Gabarra, Roberto Colichio [UNESP]2014-05-27T11:30:51Z2014-05-27T11:30:51Z2013-10-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1007-1009application/pdfhttp://dx.doi.org/10.1016/j.ijscr.2013.08.013International Journal of Surgery Case Reports, v. 4, n. 11, p. 1007-1009, 2013.2210-2612http://hdl.handle.net/11449/7683510.1016/j.ijscr.2013.08.0132-s2.0-848851492102-s2.0-84885149210.pdf28949751418951896664825590096912Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Journal of Surgery Case Reports0,260info:eu-repo/semantics/openAccess2024-01-10T06:29:30Zoai:repositorio.unesp.br:11449/76835Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-01-10T06:29:30Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation |
title |
Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation |
spellingShingle |
Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation Romero, Flávio Ramalho [UNESP] Dysautonomic syndrome Sinking skin flap syndrome Trefinated |
title_short |
Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation |
title_full |
Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation |
title_fullStr |
Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation |
title_full_unstemmed |
Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation |
title_sort |
Sinking skin flap syndrome with delayed dysautonomic syndrome - An atypical presentation |
author |
Romero, Flávio Ramalho [UNESP] |
author_facet |
Romero, Flávio Ramalho [UNESP] Zanini, Marco Antonio [UNESP] Ducati, Luis Gustavo [UNESP] Gabarra, Roberto Colichio [UNESP] |
author_role |
author |
author2 |
Zanini, Marco Antonio [UNESP] Ducati, Luis Gustavo [UNESP] Gabarra, Roberto Colichio [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Romero, Flávio Ramalho [UNESP] Zanini, Marco Antonio [UNESP] Ducati, Luis Gustavo [UNESP] Gabarra, Roberto Colichio [UNESP] |
dc.subject.por.fl_str_mv |
Dysautonomic syndrome Sinking skin flap syndrome Trefinated |
topic |
Dysautonomic syndrome Sinking skin flap syndrome Trefinated |
description |
INTRODUCTION Sinking skin flap syndrome or syndrome of the trephined is a rare complication after a large craniectomy, with a sunken skin above the bone defect with neurological symptoms such as severe headache, mental changes, focal deficits, or seizures. PRESENTATION OF CASE We report a case of 21 years old man with trefinated syndrome showing delayed dysautonomic changes. DISCUSSION Our patient had a large bone flap defect and a VP shunt that constitute risk factors to develop this syndrome. Also, there is reabsorption of bone tissue while it is placed in subcutaneous tissue. The principal symptoms of sinking skin flap syndrome are severe headache, mental changes, focal deficits, or seizures. Our patient presented with a delayed dysautonomic syndrome, with signs and symptoms very characteristics. Only few cases of this syndrome were related in literature and none were presented with dysautonomic syndrome. CONCLUSION We reported here a very uncommon case of sinking skill flap syndrome that causes a severe dysautonomic syndrome and worsening the patient condition. © 2013 The Authors. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-10-14 2014-05-27T11:30:51Z 2014-05-27T11:30:51Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.ijscr.2013.08.013 International Journal of Surgery Case Reports, v. 4, n. 11, p. 1007-1009, 2013. 2210-2612 http://hdl.handle.net/11449/76835 10.1016/j.ijscr.2013.08.013 2-s2.0-84885149210 2-s2.0-84885149210.pdf 2894975141895189 6664825590096912 |
url |
http://dx.doi.org/10.1016/j.ijscr.2013.08.013 http://hdl.handle.net/11449/76835 |
identifier_str_mv |
International Journal of Surgery Case Reports, v. 4, n. 11, p. 1007-1009, 2013. 2210-2612 10.1016/j.ijscr.2013.08.013 2-s2.0-84885149210 2-s2.0-84885149210.pdf 2894975141895189 6664825590096912 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
International Journal of Surgery Case Reports 0,260 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1007-1009 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1797790258955288576 |