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Case report of MR perfusion imaging in Sinking Skin Flap Syndrome: growing evidence for hemodynamic impairment
Authors:Andre Kemmling  Thomas Duning  Lars Lemcke  Thomas Niederstadt  Jens Minnerup  Heike Wersching  Martin Marziniak
Affiliation:(1) Institute for Clinical Radiology, University Hospital of Muenster, Albert-Schweitzer-Strasse 33, 48149 Muenster, Germany;(2) Department of Neurology, University Hospital of Muenster, Albert-Schweitzer-Strasse 33, 48149 Muenster, Germany;(3) Department of Neurosurgery, University Hospital of Muenster, Albert-Schweitzer-Strasse 33, 48149 Muenster, Germany
Abstract:

Background  

The syndrome of the sinking skin flap (SSSF) with delayed sensorimotor deficits after craniectomy is not well known and often neglected. Among various postulated causes, there is evidence that disturbed brain perfusion may be related to the observed symptoms, and that cranioplasty reliably alleviates these symptoms. We report a case of sinking skin flap syndrome (SSFS) with recovery from neurological sensorimotor deficits after cranioplasty correlated with pre- and postsurgical MR brain perfusion studies.
Keywords:
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