Isabelle Beuchat1, Patrik Michel1, Philippe Maeder2, Karin Diserens3. 1. Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Stroke Center, Lausanne, Switzerland. 2. Department of Diagnostic and Interventional Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland. 3. Department of Clinical Neurosciences, Acute Neurorehabilitation Unit, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland.
Abstract
UNLABELLED: A 53-year-old man developed significant mass effect secondary to an ischaemic stroke and was treated with decompressive craniectomy. During the first few days postsurgery he developed orthostatic vertigo with nausea. After a month, with increasing mobilisation and rehabilitation, he started reporting of severe abdominal pain. No aetiology could be found despite extensive local work up and the symptoms were resistant to any symptomatic treatment. Within days postcranioplasty there was a complete resolution of all the symptoms. CONCLUSION: the sinking flap syndrome can cause abdominal pain and orthostatic vertigo. 2016 BMJ Publishing Group Ltd.
UNLABELLED: A 53-year-old man developed significant mass effect secondary to an ischaemic stroke and was treated with decompressive craniectomy. During the first few days postsurgery he developed orthostatic vertigo with nausea. After a month, with increasing mobilisation and rehabilitation, he started reporting of severe abdominal pain. No aetiology could be found despite extensive local work up and the symptoms were resistant to any symptomatic treatment. Within days postcranioplasty there was a complete resolution of all the symptoms. CONCLUSION: the sinking flap syndrome can cause abdominal pain and orthostatic vertigo. 2016 BMJ Publishing Group Ltd.
Authors: Philippe Bijlenga; Daniel Zumofen; Hasan Yilmaz; Eric Creisson; Nicolas de Tribolet Journal: J Neurol Neurosurg Psychiatry Date: 2006-11-21 Impact factor: 10.154