The sinking
skin flap
syndrome is a rare complication after a large
craniectomy. It consists of a sunken
skin above the
bone defect with neurological symptoms such as severe
headache, mental changes, focal deficits, or seizures. In
patient with sinking
skin flap
syndrome,
cerebral blood flow and cerebral
metabolism are decreased by sinking
skin flap
syndrome, and it may cause the deterioration of
autoregulation of
brain. We
report a case of a
patient with sinking
skin flap
syndrome who suffered from
reperfusion injury after cranioplasty with
review of pertinent
literature.