Sinking flap syndrome with abdominal pain: an atypical presentation.
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.


CONCLUSIONS
the sinking flap syndrome can cause abdominal pain and orthostatic vertigo.
Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Stroke Center, Lausanne, Switzerland.
Isabelle
I
Beuchat
Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Stroke Center, Lausanne, Switzerland.
Patrik
P
Michel
Department of Diagnostic and Interventional Radiology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland.
Philippe
P
Maeder
Department of Clinical Neurosciences, Acute Neurorehabilitation Unit, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland.
Karin
K
Diserens
D015746:Abdominal Pain / Q000209:etiology*; D056424:Decompressive Craniectomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology*; D012086:Reoperation / Q000379:methods; D013577:Syndrome; D014717:Vertigo / Q000209:etiology