Sinking bone flap due to overdrainage of a ventriculoperitoneal shunt. A case report and review of the literature.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Elsevier España, S.L.U Country of Publication: Spain NLM ID: 101778588 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2529-8496 (Electronic) Linking ISSN: 25298496 NLM ISO Abbreviation: Neurocirugia (Astur : Engl Ed) Subsets: MEDLINE
    • Publication Information:
      Original Publication: [Barcelona] : Elsevier España, S.L.U., 2017-
    • Subject Terms:
      Ventriculoperitoneal Shunt*/adverse effects ; Brain Injuries, Traumatic*/surgery ; Brain Injuries, Traumatic*/complications; Humans ; Male ; Adult ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Skull/surgery ; Cerebrospinal Fluid Shunts/adverse effects
    • Abstract:
      The widespread use of decompressive craniectomy and subsequent cranioplasty has led to a better understanding of its complications. However, cases of a sunken bone flap have hardly ever been described. We present the eighth case reported up to date and perform a review of the literature of this sporadic complication. A 40-year-old Caucasian male suffered a traumatic brain injury that required a decompressive craniectomy. One month after initial trauma autologous cranioplasty was performed. A ventriculoperitoneal shunt was also placed. Neurological status progressively improved but his therapist noted cognitive status decline 8 months later. Follow-up computed tomography showed a progressive sinking bone flap. The patient underwent bone flap removal and a custom-made calcium phosphate-based implant was inserted, leading to symptoms resolution. Bone resorption has been described as the main cause of sinking bone flap following cranioplasty. This entity may manifest with symptoms of overdrainage in patients with cerebrospinal fluid shunt devices.
      (Copyright © 2022 Sociedad Española de Neurocirugía. Published by Elsevier España, S.L.U. All rights reserved.)
    • Contributed Indexing:
      Keywords: Cerebrospinal fluid; Craniectomía descompresiva; Decompressive craniectomy; Derivación ventriculoperitoneal; Hundimiento; Líquido cefalorraquídeo; Overdrainage; Sinking; Sobredrenaje; Traumatic brain injury; Traumatismo craneoencefálico; Ventriculoperitoneal shunt
    • Publication Date:
      Date Created: 20230212 Date Completed: 20230707 Latest Revision: 20230724
    • Publication Date:
      20230725
    • Accession Number:
      10.1016/j.neucie.2022.11.024
    • Accession Number:
      36775741