Sinking Skin Flap Syndrome
Journal Title: Journal of Clinical Intensive Care and Medicine - Year 2017, Vol 2, Issue 1
Abstract
A previously healthy 26-year-old gentleman, referred from a state hospital with history of alleged fall from 10 feet height at a construction site on the same day. Glasgow coma scale (GCS) at that hospital was E2 V2 M5. He was brought in to our Emergency Unit, Hospital Kuala Lumpur with GCS of E1 V2 M4 (7/15). Pupils were 5mm+ /3mm+. He sustained left ear bleed. Otherwise vital signs were stable, with no other extracranial injury. Computed tomography (CT) scan brain (Figure 1) showed right frontotemporal acute subdural hematoma with left frontotemporoparietal acute subdural hematoma, with underlying subarachnoid hemorrhage, mass effect and midline shift to left side more than 0.5cm and obliteration of basal cistern.
Authors and Affiliations
Liew BS, Rosman AK, Adnan JS
Keywords
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- EP ID EP556939
- DOI 10.29328/journal.jcicm.1001009
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