Fig. 1.

A A 49 year old patient who developed left sided hemiparesis following a right sided decompressive craniectomy carried out a year ago. B, C The large right sided fronto-temporo-parietal post craniectomy defect. The scalp flap overlying the cranial defect appeared disfigured, indrawn and “sucked- in”, creating a tense, non-pulsatile, gorge-like pit, typical of the “sinking skin flap syndrome” (“SSFS”). D Reconstruction of the cranial defect planned using a 3-D titanium mesh implant