{"id":"0a7f9889-eba9-4e64-a194-24f70529cac4","slug":"unusual-presentation-in-syndrome-of-trephined-a-unique-case-observation","title":"Unusual presentation in syndrome of trephined – A unique case observation","authors":["Hafiza Fatima Aziz","Muhammad Waqas Saeed Baqai","Rashid Jooma"],"abstract":"Background: Syndrome of trephined (SoT) is a well-recognized complication of decompressive craniectomy (DC). The understanding of SoT has improved more recently with the increasing utilization of DC for severely raised intracranial pressure. It usually presents after a period of weeks or months with a cluster of adverse neurological symptoms, most commonly with worsening of motor strength. Case Description: An elderly gentleman with traumatic brain injury underwent DC. He later developed a sinking flap and unexplained agitation which responded to cranioplasty by returning to a state of calm. His cognitive function further improved over a period of 6 months. This is an unusual observation reported in this case. Conclusion: Timely recognition of the cognitive complications of craniectomy that may respond to early cranioplasty promises to decrease the length of hospital stay and enhance rehabilitation in such patients.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/0a7f9889-eba9-4e64-a194-24f70529cac4/featured/hero-1781560677982.png","publishDate":"2022-12-02T00:00:00.000Z","doi":"10.25259/SNI_988_2022","categories":["Unique Case Observations","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/0a7f9889-eba9-4e64-a194-24f70529cac4/pdf"}