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OVER 98% PASS RATE FOR THE NCS, PCS, OCS, AND GCS EXAMS › forums › NCS Advantage › Clarification for Sinking Skin Flap Syndrome (SSFS)/Syndrome of Trephined › Reply To: Clarification for Sinking Skin Flap Syndrome (SSFS)/Syndrome of Trephined

February 6, 2026 at 3:48 pm #490867
Chrissy Durrough Lugge
Keymaster

Hi Masato! I think the article you referenced has a typo in the abstract. Trendelendburg (head down) is the optimal position for managing SSFS. SSFS occurs when atmospheric pressure is high relative to ICP (so ICP is relatively low). The medical team would, therefore, want to increase ICP by placing the patient’s head in a dependent position and pushing fluids.