Seeing It First: How Recognizing Sinking Flap Syndrome Can Change Patient Outcomes

In this AJNR Article Summary, Dr. George Vilanilam discusses the article, "Sinking Flap Syndrome: Risk Factors, Outcomes, and the Role of Neuroradiology in Cranioplasty Timing." Sinking flap syndrome is a common yet frequently underrecognized complication of decompressive craniectomy, with imaging findings often preceding clinical deterioration. Recognition and reporting of key features - including a markedly sunken flap, ventricular compression, and significant midline shift (8 mm or greater) were associated with a two-fold reduction in time to cranioplasty highlighting the important role neuroradiologists can play in expediting definitive treatment and improving patient care.

What is AJNR Podcast?

The American Journal of Neuroradiology (AJNR) is a scholarly, peer-reviewed journal that publishes Original Research and Review Articles relevant to the diagnostic, interventional, and functional imaging of the brain, head, neck, and spine. AJNR's monthly podcast include a review of Editor's Choices and Fellows' Journal Club selections and an author interview. The podcast is hosted by Francis Deng and George K. Vilanilam.