Syndrome of the trephined revealed by vertical diplopia

Syndrome of the trephined revealed by vertical diplopia Acta Neurol Belg (2017) 117:737–739 DOI 10.1007/s13760-016-0713-3 NEURO-IMAGES 1 2 3 1 • • • • K. Hohenbichler T. Duprez J. G. Ribeiro Vaz S. Ferrao Santos R. El Tahry Received: 22 August 2016 / Accepted: 11 October 2016 / Published online: 24 December 2016 Belgian Neurological Society 2016 Case history syndrome of the trephined (ST)/sinking skin flap syn- drome. Cranioplasty was performed, and symptoms dis- A 29 year-old man underwent a bi-frontal decompressive appeared shortly after. A follow-up MRI 2 months later craniectomy to drain a life-threatening post-traumatic showed a normalized shape of the previously impinged intraparenchymal hematoma. The bone flap became mesencephalon. infected and had to be removed 13 months after the initial ST is a complication observed in 12–26 % of patients surgery. Seven months later, the patient complained of having undergone craniectomy and is featured by neuro- vertical diplopia which was more prominent in the evening logical deterioration after the removal of a large skull bone and disappeared upon awakening, suggesting posture-re- flap [1, 2]. Frequently reported symptoms are posture-re- lated occurrence of symptoms. Ophthalmologic examina- lated chronic arrest of rehabilitation or acute deterioration, tion revealed a limitation of the upward gaze of the left Acta Neurologica Belgica Springer Journals

Syndrome of the trephined revealed by vertical diplopia

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Springer International Publishing
Copyright © 2016 by Belgian Neurological Society
Biomedicine; Neurosciences; Neurology; Neuroradiology; Medicine/Public Health, general
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