{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:14:32Z","timestamp":1785899672686,"version":"3.56.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T00:00:00Z","timestamp":1592524800000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Sinking skin flap syndrome is a rare syndrome leading to increased intracranial pressure, known to neurosurgeons, yet uncommon and hardly ever reported in trauma patients. In a hospitalized trauma patient with declining neurological status, rarely do we encounter further deterioration by elevating the patients\u2019 head, diuresis and hyperventilation. However, after craniectomy for trauma, a partially boneless cranium may be compressed by the higher atmospheric pressure, that intracranial pressure rises to dangerous levels. For such cases, paradoxical supportive management with intravenous fluid infusion, and reverse Trendelenburg positioning, is used to counteract the higher atmospheric pressure, as a bridge to definitive treatment with cranioplasty. These steps constitute an urgent and easily applied intervention to reduce further neurological deterioration, of which every trauma healthcare provider should be aware.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa172","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T11:24:20Z","timestamp":1589282660000},"source":"Crossref","is-referenced-by-count":8,"title":["Sinking skin flap syndrome in the multi-trauma patient: a paradoxical management to TBI post craniectomy"],"prefix":"10.1093","volume":"2020","author":[{"given":"Hazim","family":"Hakmi","sequence":"first","affiliation":[{"name":"Department of Surgery, NYU Langone Health, New York, 10016, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u2019Andrea K","family":"Joseph","sequence":"first","affiliation":[{"name":"Department of Surgery, NYU Langone Health, New York, 10016, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Sohail","sequence":"first","affiliation":[{"name":"Department of Surgery, NYU Langone Health, New York, 10016, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Tessler","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, NYU Langone Health, New York, 10016, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard","family":"Baltazar","sequence":"first","affiliation":[{"name":"Department of Surgery, NYU Langone Health, New York, 10016, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Stright","sequence":"first","affiliation":[{"name":"Department of Surgery, NYU Langone Health, New York, 10016, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,6,19]]},"reference":[{"key":"2020061822232426000_ref1","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1097\/00000658-193910000-00002","article-title":"Repair of cranial defects by cranioplasty. S.l","volume":"110","author":"Grant","year":"1939","journal-title":"Ann Surg"},{"key":"2020061822232426000_ref2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s12873-016-0071-8","article-title":"Emergency department visits for head trauma in the United States. S.l.","volume":"16","author":"Zonfrillo Mark","year":"2016","journal-title":"BMC Emerg Med"},{"key":"2020061822232426000_ref3","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1111\/j.1526-4610.2010.01715.x","article-title":"Orthostatic headaches in the syndrome of the trephined: resolution following cranioplasty. S.l.","volume":"Jul;50","author":"Mokri","year":"2010","journal-title":"Headache"},{"key":"2020061822232426000_ref4","doi-asserted-by":"crossref","first-page":"314","DOI":"10.3109\/02688697.2015.1012047","article-title":"Sinking skin flap syndrome (or syndrome of thetrephined): a review. S.l. ritish","volume":"29","author":"Annan","journal-title":"J Neurosurg"},{"key":"2020061822232426000_ref5","doi-asserted-by":"crossref","first-page":"83","DOI":"10.4103\/2152-7806.133886","article-title":"Neurological susceptibility to a skull defect. S.l.","volume":"5","author":"Honeybul","year":"2014","journal-title":"Surg Neurol Int"},{"key":"2020061822232426000_ref6","doi-asserted-by":"crossref","first-page":"101","DOI":"10.3109\/02699052.2011.635357","article-title":"Syndrome of the trephined following bifrontal decompressive craniectomy: implications for rehabilitation. S.l.","volume":"26","author":"Janzen","year":"2012","journal-title":"Brain Inj"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/6\/rjaa172\/33404702\/rjaa172.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/6\/rjaa172\/33404702\/rjaa172.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,19]],"date-time":"2020-06-19T02:23:33Z","timestamp":1592533413000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa172\/5859611"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,1]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa172","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,6]]},"published":{"date-parts":[[2020,6,1]]},"article-number":"rjaa172"}}