Christiana Ossig, Claudia Lindner, Johannes Gerber and Jochen Schaefer
We present a case of sinking skin flap syndrome after hemicraniectomy and insertion of a ventriculo-peritoneal
shunt following severe craniocerebral injury. When the neurological status deteriorated due to cerebrospinal fluid overdrainage and resulting midline shift, complete ligation of the vp shunt became a temporary solution before definitive cranioplasty could be performed.