Pediatric Neurosurgery
Technical Note
Secondary Cranial Vault Remodeling for Restenosis after Primary Sagittal Synostosis RepairKuang A.a · Selden N.R.baDivision of Plastic and Reconstructive Surgery, Department of Surgery, and bDivision of Pediatric Neurosurgery, Department of Neurological Surgery, Oregon Health & Science University, Portland, Oreg., USA
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Article / Publication Details
Received: May 07, 2014
Accepted: February 08, 2015
Published online: March 26, 2015
Issue release date: May 2015
Number of Print Pages: 5
Number of Figures: 4
Number of Tables: 0
ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)
For additional information: https://www.karger.com/PNE
Abstract
The mainstay of treatment for single-suture cranial synostosis is cranial vault reconstruction. After primary cranial vault remodeling, patients are at risk for cranial restenosis and delayed intracranial hypertension, which may result in developmental delay or blindness. Synostosis patients are therefore generally monitored periodically for signs and symptoms of intracranial hypertension that may indicate a second cranial expansion procedure. The authors present a carefully illustrated case of a patient who presented 2 years after primary cranial vault reconstruction for sagittal synostosis with a decrease in head circumference percentile, recurrent cranial dysmorphism, papilledema, headaches and computed tomographic imaging findings consistent with cranial restenosis. These findings resolved after secondary cranial vault remodeling. The authors advocate a protocol of prospective routine clinical and radiographic follow-up after primary cranial vault repair for single-suture cranial synostosis, and illustrate the specific clinical and radiographic findings suggestive of this late complication in a representative individual patient.
© 2015 S. Karger AG, Basel
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Article / Publication Details
Received: May 07, 2014
Accepted: February 08, 2015
Published online: March 26, 2015
Issue release date: May 2015
Number of Print Pages: 5
Number of Figures: 4
Number of Tables: 0
ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)
For additional information: https://www.karger.com/PNE
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