| SHORT REPORTS |
|
| Year : 2004 | Volume
: 52
| Issue : 4 | Page : 504--505 |
Unusual presentation of the “syndrome of the trephined”
G Samson Sujit Kumar, Ari G Chacko, Vedantam Rajshekhar
Department of Neurological Sciences, Christian Medical College and Hospital, Vellore - 632004, India
Correspondence Address:
Vedantam Rajshekhar
Department of Neurological Sciences, Christian Medical College and Hospital Vellore - 632004, Tamilnadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 15626847 
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.
[FULL TEXT] [PDF]*
|
