Document Detail

Sinking skin flap syndrome (SSFS) - clinical spectrum and impact on rehabilitation.
MedLine Citation:
PMID:  19711258     Owner:  NLM     Status:  MEDLINE    
"Sinking skin flap syndrome" (SSFS) is defined as a secondary neurological deterioration in the presence of a sinking skin flap in patients with large craniectomies. Although changes in cerebrospinal fluid (CSF) hydrodynamics, cerebral blood flow and brain metabolism have been described as partial aspects of the pathophysiology, a conclusive concept, integrating all contributing factors, is still lacking. Knowledge about the true incidence of this phenomenon is rare. This case series describes the clinical spectrum of SSFS. Since it is to be expected that decompressive craniectomies will be carried out more often in the future, SSFS will become increasingly important. Cranioplasty leads to clinical improvement in the majority of cases and should therefore be performed early in the course in order to avoid secondary neurological deterioration. Cranioplasty is thus a therapeutic and more than merely a cosmetic procedure.
M Schorl
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-25
Journal Detail:
Title:  Central European neurosurgery     Volume:  70     ISSN:  1868-4904     ISO Abbreviation:  Cent Eur Neurosurg     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-08-27     Completed Date:  2009-10-29     Revised Date:  2012-03-23    
Medline Journal Info:
Nlm Unique ID:  101501500     Medline TA:  Cent Eur Neurosurg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  68-72     Citation Subset:  IM    
Copyright Information:
(c) Georg Thieme Verlag KG Stuttgart, New York.
SRH Fachkrankenhaus Neresheim, Neurologie, Neresheim, Germany.
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MeSH Terms
Brain Diseases / etiology*,  pathology,  therapy*
Craniotomy / adverse effects*
Middle Aged
Skull / pathology*
Surgical Flaps / adverse effects*

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