Influence of Sedimentary Environment on Organic Matter Enrichment in Shallow Marine Shelf Organic-Rich Shales: Study of the Wujiaping Formation in Eastern Sichuan Basin.

Syndrome of the Trephined (SoT), also known as sinking skin flap syndrome, is a clinically significant but often underrecognized delayed complication of decompressive craniectomy (DC) (). Several terms have been used interchangeably to describe neurological deterioration associated with cranial defects after decompressive craniectomy, including syndrome of the trephined, sinking skin flap syndrome, paradoxical herniation, and motor trephine syndrome. Although these entities share overlapping features, important distinctions exist. The principal definitions and terminology used throughout this review are summarized in . The clinical presentation of SoT is heterogeneous and may include cognitive impairment, focal neurological deficits, psychiatric symptoms, language disturbances, headache, and gait abnormalities. The most frequently reported manifestations are summarized in . Notably, these symptoms frequently demonstrate partial or complete reversal following cranioplasty ().