ArticleAsian journal of neurosurgery
The "Negative" Impact of a Subgaleal Drain: Post-cranioplasty Negative Pressure Subgaleal Drain-induced Ascending Transtentorial Herniation.
Article in Asian journal of neurosurgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Excessive subgaleal suction from a variable vacuum drainage system used for managing chronic subdural hematomas: a cautionary note. Illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Ascending Transtentorial Herniation: A Rare Complication of Posterior Cranial Fossa Tumors and Review of Literature.Asian journal of neurosurgery · 2025Article
- Malignant Cerebral Edema After Cranioplasty: A Case Report and Literature Insights.The American journal of case reports · 2025Review
- The usefulness of surgical drains on short term outcomes among patients undergoing craniotomy at the Bugando Medical Centre, Mwanza Tanzania.World neurosurgery: X · 2024Article
- Surgical drain induced subgaleal hematomas and skin necrosis in pediatrics: a case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
One commonly practiced procedural step to reduce the risk of postoperative hematoma accumulation when performing cranioplasties is to place a closed negative-pressure subgaleal drain. We present a patient with sinking skin flap syndrome that underwent such a procedure and subsequently experienced immediate postoperative ascending transtentorial herniation and intracranial hemorrhage remote from the surgical site. On determining that the subgaleal drain was the responsible cause, it was immediate removed, and the patient had neurological recovery. Fewer than 30 cases of life-threatening subgaleal drain-related complications have been documented, and this is the first reported case of ascending herniation occurring after cranioplasty. This report illustrates the potential risks of subgaleal drainage, the importance of early recognition of this rare phenomenon and that intervention can be potentially life-saving.
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Registered trials
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