Syndrome of the Trephined, a Rare Complication of Decompression Craniotomy: A Case Report

Abstract

Post-traumatic brain injury can lead to intracranial hypertension, which is a serious neurological emergency that may require decompressive craniotomy (DC). However, decompressive craniotomies can give rise to complications in some patients during their recovery phase, in particular the "trephine" syndrome, which adversely affects patients' functional rehabilitation. The main symptoms are severe orthostatic headaches, motor deficits, cognitive decline and convulsions. Imaging, particularly CT scans, is essential for making a positive diagnosis and monitoring patient progress. In this study, we describe a case of skin flap syndrome secondary to post-traumatic decompression.