Medknow Publications on behalf of the Neurological Society of India
Vol. 52, No. 4, 2004, pp. 504-505
Bioline Code: ni04169
Full paper language: English
Document type: Research Article
Document available free of charge
Neurology India, Vol. 52, No. 4, 2004, pp. 504-505
© Copyright 2004 Neurology India.
Short Report - Unusual presentation of the "syndrome of the trephined"|
Sujit Kumar GSamson, Chacko AriG, Rajshekhar Vedantam
A 45-year-old lady underwent right fronto-parietal craniotomy and subtotal excision of a parasagittal meningioma. Bone flap was not replaced as it was infiltrated by the tumor. In the postoperative period she developed episodes of altered sensorium associated with worsening of left hemiparesis and a sunken scalp at the site of bone defect. Computed tomography (CT) of brain showed sunken scalp flap in the right fronto-parietal region with compression of the underlying brain. A diagnosis of syndrome of the trephined was considered and her symptoms improved with cranioplasty. Pathophysiology of the syndrome of the trephined is discussed.
Craniectomy, cranioplasty, intracranial pressure
Alternative site location: http://www.neurologyindia.com