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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886 EISSN: 0028-3886
Vol. 52, No. 4, 2004, pp. 504-505
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Bioline Code: ni04169
Full paper language: English
Document type: Research Article
Document available free of charge
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Neurology India, Vol. 52, No. 4, 2004, pp. 504-505
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Short Report - Unusual presentation of the "syndrome of the trephined"
Sujit Kumar GSamson, Chacko AriG, Rajshekhar Vedantam
Abstract
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.
Keywords
Craniectomy, cranioplasty, intracranial pressure
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