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Intracranial pressure monitoring in children with single suture and complex craniosynostosis: a review
Abstract
Introduction One third of patients with craniofacial dysostosis syndromes and about 15-20% of children with single suture craniostenosis have a documented increase in intracranial pressure (ICP). The early detection of intracranial hypertension is important in order to reduce the risks for brain development and visual function. However, in children with craniosynostosis, the clinical manifestations of abnormally increased ICP are difficult to detect, as the majority of patients may have neither warning signs nor symptoms for a long period of time.Review Moreover, data from the literature suggest that neither fundoscopic nor radiological findings are necessarily related to intracranial pressure recordings in this type of pathology. In this context prolonged ICP monitoring seems actually to be the most valuable diagnostic tool. Extradural, subdural, and intraparenchymal devices have been used, and different softwares have been employed for PC storage and analysis of the data obtained. Most recent series consider mean ICP combined with plateaux waves as the most sensitive indicators in the final evaluation of the results.Conclusions The analysis of the literature demonstrates a significant difference in the prevalence of raised ICP preoperatively between non-syndromic and syndromic patients. Among the non-syndromic children, a direct relation between the number of sutures involved and raised ICP is documented. The analysis of plateaux waves seems to be particularly important in children with borderline mean ICP values. Persistent postoperative raised ICP has been described in 6-15% of patients with craniofacial dysostosis. It must be related to the multifactorial etiology of increased ICP in these patients, which includes cerebral venous congestion, upper airway obstruction, and hydrocephalus.
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“Environmental influences have also been proposed as contributing factors, particularly in non-syndromic cases. These include in utero mechanical constraints, maternal health conditions, medication exposure, and other prenatal risk factors [1, 2, 11, 22–25].”
From Genetics versus environment in the pathophysiology of sagittal synostosis (2026) · cites this paper as [24]
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“This chance of increased intracranial pressure detected it in 20% of nonsyndromic single suture craniosynostosis patients [13].”
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Metadata
- Authors
- Tamburrini, G., Caldarelli, M., Massimi, L., Santini, P., & Di Rocco, C.
- Affiliations
- Agostino Gemelli University Polyclinic (IT)
- Corresponding author
- Tamburrini, G.
- Venue
- Child's Nervous System
- Published
- 2005-05-03
- Volume
- 21
- Issue
- 10
- Pages
- 913-921
- ISSN
- 0256-7040 (ISSN-L)
- 1433-0350
- OpenAlex
- W2044133352
- Cited by
- 261
- References
- 36
- Citations by year
- 2026: 14 · 2025: 8 · 2024: 19 · 2023: 11 · 2022: 23 · 2021: 21 · 2020: 21 · 2019: 17 · 2018: 19 · 2017: 12 · 2016: 16 · 2015: 12 · 2014: 13 · 2013: 6 · 2012: 12
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Child s Nervous System (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Craniofacial Disorders and Treatments
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Clinical Neurology › Cerebral Venous Sinus Thrombosis
- Keywords
- intracranial pressure monitoring, craniosynostosis, single-suture craniosynostosis, intracranial hypertension, cerebral venous congestion, upper airway obstruction, hydrocephalus, children
- MeSH terms
- Cerebrospinal Fluid Shunts, Child, Child, Preschool, Cranial Sutures, Craniosynostoses, Craniotomy, Humans, Intracranial Pressure, Monitoring, Physiologic
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