Cited by 591Craniofacial Disorders and TreatmentsTraumatic Brain Injury and Neurovascular DisturbancesCerebral Venous Sinus Thrombosis

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Intracranial pressure in craniostenosis

Renier, Dominique, Sainte-Rose, Christian, Marchac, Daniel, Hirsch, Jean-François·1982·Journal of neurosurgery

DOI 10.3171/jns.1982.57.3.0370

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Abstract

In this study, intracranial pressure (ICP) was recorded with an epidural sensor for periods of 12 to 24 hours in 92 cases of craniosynostosis. Pre- and postoperative recordings were performed in 23 patients, and 55 children underwent preoperative psychometric testing. The ICP was found to be normal in one-third of the cases, was obviously elevated in one-third, and was borderline in one-third. Waves of increased ICP were recorded during rapid eye movement (REM) sleep. After surgery, ICP decreased progressively and returned to normal in several weeks. A significant statistical relationship was found between the patients' ICP and their mental level: the higher the ICP the lower the mental level. The regression curve of ICP as a function of age shows that ICP is maximal at the age of 6 years and decreases later. The significance of these results is discussed. The authors recommend that ICP be recorded in cases of craniosynostosis since it is of some help in deciding whether patients should undergo surgery.

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“…are that (1) CS causes functional deficits by triggering increased intracranial pressure, secondary brain deformation, and cortical and subcortical changes; or (2) these abnormalities are the consequence of primary neuropathology [Renier et al., 1982; Speltz et al., 2004; Aldridge et al., 2005a,b].”
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“…reported that approximately 4% to 25% of children with UCS actually demonstrate it, indicating that the vast majority did not display elevated ICP (Renier et al., 1982; Renier et al., 1987; Thompson et al., 1995; Cohen and Persing, 1998; Renier et al., 2000; Eide et al., 2002; Bristol et al.,…”
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“Metopic suture 111 (93) 110 (92) 14 (12) 9 (8) Sagittal suture 56 (47) 51 (43) 3 (3) 10 (8) Coronal suture 119 (99) 63 (53) 111 (93) 113 (94) Squamosal suture 119 (99) 32 (27) 115 (96) 114 (95) Lambdoid suture 110 (92) 13 (11) 94 (78) 81 (68) Anterior fontanel 98 (82) 93 (78) 23 (19) 22 (18) Posterior fontanel 50 (42)…”
The Craniofacial Dysostosis Syndromes
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Background
Surgical Correction of the Craniofacial Dysmorphology of Apert Syndrome
Marsh, J. L., Galić, M., & Vannier, M. W. (1991) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)30821-x · Cited by 34
Comparing two fronto-orbital advancement strategies to treat trigonocephaly in metopic synostosis
Metzler, P., Ezaldein, H. H., Persing, J. A., & Steinbacher, D. M. (2014) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2014.04.006 · Cited by 33
“Published by within the anterior cranial fossa occurs (Renier et al., 1982; van der Meulen, 2012).”
Background
Sagittal synostosis: A review of 53 cases of sagittal suturectomy in one unit
Murray, D. J., Kelleher, M., McGillivary, A., Allcutt, D. A., & Earley, M. J. (2007) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2007.02.003 · Cited by 34
Surgical timing of craniosynostosis: What to do and when
Pagnoni, M., Fadda, M. T., Spalice, A., Amodeo, G., Ursitti, F., Mitro, V., & Iannetti, G. (2013) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2013.07.018 · Cited by 33
Long-term neurocognitive outcomes in 204 single-suture craniosynostosis patients
Junn, A. H., Long, A. S., Hauc, S. C., Almeida, M. N., Alper, D. P., Rivera, J. C., Mayes, L. C., Persing, J. A., & Alperovich, M. A. (2023) · Child s Nervous System · doi:10.1007/s00381-023-05908-1 · Cited by 32
“The etiology of these deficits is theorized to be due to diminished cerebral blood flow, increased intracranial pressure, or a genetic predisposition to neurocognitive impairment accompanying suture fusion [4, 8, 9].”
Background
The Etiology of Neuronal Development in Craniosynostosis: A Working Hypothesis
Brooks, E. D., Beckett, J. S., Yang, J. F., Timberlake, A. T., Sun, A. H., Chuang, C., & Persing, J. A. (2017) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000004040 · Cited by 32
“Drawing analogy to this, early studies proposed that children with NSC who also have suture fusion suffered from elevation in ICP.33,34 However, the high rates of elevated ICP in syndromic craniosynostosis were not observed in the NSC population, where the highest estimates ranged around only 12% to 14% (versus 50%).3…”
BackgroundResult
Significance of beaten copper appearance on skull radiographs in children with isolated sagittal synostosis
Agrawal, D. K., Steinbok, P., & Cochrane, D. D. (2007) · Child s Nervous System · doi:10.1007/s00381-007-0430-6 · Cited by 32
“In single suture synostosis, intracranial hypertension has been noted in 14 to 24% of the children [13, 15, 16], with another 38% having “borderline” ICP [16].”
Background
Optical coherence tomography: a quantitative tool to screen for papilledema in craniosynostosis
Driessen, C., Eveleens, J. R. J., Bleyen, I., van Veelen, M. V., Joosten, K., & Mathijssen, I. (2014) · Child's Nervous System · doi:10.1007/s00381-014-2376-9 · Cited by 34
“Ultrasound measurements of the optic nerve sheath are easier, but represent the real-time of ICP [5, 6], which is most often increased during rapid eye movement sleep [14] and would thus require a nightly measurement.”
BackgroundResult
Craniofacial dysostosis syndromes: stages of reconstruction
Posnick, J. C., Ruiz, R. L., & Tiwana, P. S. (2004) · Oral and Maxillofacial Surgery Clinics of North America · doi:10.1016/j.coms.2004.08.004 · Cited by 32
Use of neuroimaging measurements of optic nerve sheath diameter to assess intracranial pressure in craniosynostosis
Haredy, M. M., Zuccoli, G., Tamber, M. S., Davis, A. A., Nischal, K. K., & Goldstein, J. A. (2018) · Child s Nervous System · doi:10.1007/s00381-018-3728-7 · Cited by 32
Stability of Fronto-Orbital Advancement in Nonsyndromic Bilateral Coronal Synostosis: A Quantitative Three-Dimensional Computed Tomographic Study
Lo, L., Marsh, J. L., Yoon, J. O., & Vannier, M. W. (1996) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199609000-00002 · Cited by 31
Assessment of Childhood Intracranial Pressure Recordings Using a New Method of Processing Intracranial Pressure Signals
Eide, P. K. (2005) · Pediatric Neurosurgery · doi:10.1159/000085868 · Cited by 31
Sagittal suture craniosynostosis or craniosynostoses? The heterogeneity of the most common premature fusion of the cranial sutures
Di Rocco, F., Gleizal, A., Szathmari, A., Beuriat, P. A., Paulus, C., & Mottolese, C. (2019) · Neurochirurgie · doi:10.1016/j.neuchi.2019.09.011 · Cited by 30
Intracranial pressure patterns in children with craniosynostosis utilizing optical coherence tomography
Swanson, J. W., Xu, W., Ying, G., Pan, W., Lang, S., Heuer, G. G., Bartlett, S. P. P., & Taylor, J. A. (2019) · Child s Nervous System · doi:10.1007/s00381-019-04448-x · Cited by 30
Elevated Intracranial Pressure in Patients with Craniosynostosis by Optical Coherence Tomography
Kalmar, C. L., Humphries, L. S., McGeehan, B., Ying, G., Heuer, G. G., Liu, G. T., Avery, R. A., Bartlett, S. P. P., Taylor, J. A., Lang, S., et al. (2022) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000008821 · Cited by 30
“12,18 The purpose of this study was to (1) validate the previously piloted optical coherence tomography methodology in an expanded patient cohort, (2) refine optical coherence tomography parameter diagnostic thresholds that optimize sensitivity and specificity, and (3) apply these criteria to a large cohort of cranios…”
Frank-ter Haar syndrome associated with sagittal craniosynostosis and raised intracranial pressure
Bendon, C. L., Fenwick, A. L., Hurst, J. A., Nürnberg, G., Nürnberg, P., Wall, S. A., Wilkie, A. O., & Johnson, D. (2012) · BMC Medical Genetics · doi:10.1186/1471-2350-13-104 · Cited by 28
“It is interesting to note that a diagnosis of raised ICP was made in 66% of these nonscaphocephalic cases, much higher than the reported incidence of 14% for all single suture synostosis [11].”
BackgroundInfluential
Elevated intracranial pressure with craniosynostosis: a multivariate model of age, syndromic status, and number of involved cranial sutures
Kalmar, C. L., Zapatero, Z. D., Kosyk, M. S., Carlson, A. R., Bartlett, S. P. P., Heuer, G. G., Tucker, A. M., Taylor, J. A., Lang, S., & Swanson, J. W. (2021) · Journal of Neurosurgery Pediatrics · doi:10.3171/2021.6.peds21162 · Cited by 31
Review of Past Reports and Current Concepts of Surgical Management for Craniosynostosis
Kyutoku, S., & Inagaki, T. (2017) · Neurologia medico-chirurgica · doi:10.2176/nmc.ra.2017-0006 · Cited by 30
Current Controversies in Metopic Suture Craniosynostosis
Jaskolka, M. S. (2017) · Oral and Maxillofacial Surgery Clinics of North America · doi:10.1016/j.coms.2017.07.003 · Cited by 29
Early beaten-copper pattern: its long-term effect on intelligence quotients in 95 children with craniosynostosis
van der Meulen, J., van der Vlugt, J., Okkerse, J. M. E., & Albert Hofman, D. (2008) · Journal of Neurosurgery Pediatrics · doi:10.3171/ped-08/01/025 · Cited by 29
Advances in craniosynostosis research and management.
Guimãraes-Ferreira, J., Miguéns, J., & Lauritzen, C. (2004) · Advances and technical standards in neurosurgery · doi:10.1007/978-3-7091-0558-0_2 · Cited by 29
Single Suture Craniosynostosis: Diagnosis and Imaging
Hukki, J., Saarinen, P., & Kangasniemi, M. (2008) · KARGER eBooks · doi:10.1159/000115033 · Cited by 28
Differences in Quantitative Characteristics of Intracranial Pressure in Hydrocephalic Children Treated Surgically or Conservatively
Eide, P. K., Due‐Tønnessen, B. J., Helseth, E., & Lundar, T. (2002) · Pediatric Neurosurgery · doi:10.1159/000063534 · Cited by 28
Quantitative analysis of cerebrospinal fluid spaces in children with occipital plagiocephaly
Sawin, P. D., Muhonen, M. G., & Menezes, A. H. (1996) · Journal of neurosurgery · doi:10.3171/jns.1996.85.3.0428 · Cited by 28
Cerebral blood flow in children with syndromic craniosynostosis: cohort arterial spin labeling studies
Doerga, P. N., Lequin, M. H., Dremmen, M. H. G., den Ottelander, B. K., Mauff, K. A. L., Wagner, M. W., Hernandez-Tamames, J. A., Versnel, S. L., Joosten, K., van Veelen, M. C., et al. (2020) · Journal of Neurosurgery Pediatrics · doi:10.3171/2019.10.peds19150 · Cited by 27
Epidemiology, Genetics, and Pathophysiology of Craniosynostosis
Blessing, M. S., & Gallagher, E. R. (2022) · Oral and Maxillofacial Surgery Clinics of North America · doi:10.1016/j.coms.2022.02.001 · Cited by 27
Postoperative hyponatremia following calvarial vault remodeling in craniosynostosis
Cladis, F. P., Bykowski, M. R., Schmitt, E., Naran, S., Moritz, M. L., Cray, J., Grunwaldt, L. J., & Losee, J. E. (2011) · Pediatric Anesthesia · doi:10.1111/j.1460-9592.2011.03605.x · Cited by 27
Assessment of intracranial pressure volume relationships in childhood: the lumbar infusion test versus intracranial pressure monitoring
Eide, P. K., Due‐Tønnessen, B. J., Helseth, E., & Lundar, T. (2001) · Child s Nervous System · doi:10.1007/s003810000437 · Cited by 27
“Continuous ICP monitoring has been used in children to evaluate hydrocephalus [9, 13, 21] and craniosynostosis [22].”
Background
Age at the Time of Surgery and Maintenance of Head Size in Nonsyndromic Sagittal Craniosynostosis
Bergquist, C. S., Nauta, A., Selden, N. R. W., & Kuang, A. A. (2016) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000002049 · Cited by 27
Referral pattern and surgical outcome of sagittal synostosis
Chatterjee, J. S., Mahmoud, M., Karthikeyan, S., Duncan, C., Dover, M. S., & Nishikawa, H. (2008) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2007.10.042 · Cited by 27
Craniofacial Dysostosis
Posnick, J. C. (1991) · Neurosurgery Clinics of North America · doi:10.1016/s1042-3680(18)30729-0 · Cited by 27
Overnight of Recordings of Intracranial Pressure and Electroencephalography in Neurosurgical Patients
Yokota, A., Matsuoka, S., ISHIKAWA, T., Kohshi, K., & KAJIWARA, H. (1989) · Journal of UOEH · doi:10.7888/juoeh.11.383 · Cited by 26
Sagittal synostosis: I. Preoperative morphology of the skull
Guimãraes-Ferreira, J., Gewalli, F., David, L., Darvann, T., Hermann, N. V., Kreiborg, S., Friede, H., & Lauritzen, C. (2006) · Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery · doi:10.1080/02844310600610264 · Cited by 24
Medical Genetics on the Cleft Palate–Craniofacial Team: Understanding Parental Preference
Berk, N. W., Marazita, M. L., & Cooper, M. E. (1999) · The Cleft Palate-Craniofacial Journal · doi:10.1597/1545-1569(1999)036 · Cited by 21
Signaling pathways in osteogenesis and osteoclastogenesis: Lessons from cranial sutures and applications to regenerative medicine
Maxhimer, J. B., Bradley, J. P., & Lee, J. C. (2015) · Genes & Diseases · doi:10.1016/j.gendis.2014.12.004 · Cited by 26

Authors: Renier, D., Sainte-Rose, C., Marchac, D., & Hirsch, J.-F.
Venue: Journal of neurosurgery
Publisher: Journal of Neurosurgery Publishing Group (JNSPG)
Published: 1982-09
Volume: 57
Issue: 3
Pages: 370-377
ISSN: 0022-3085 (ISSN-L)
DOI: 10.3171/jns.1982.57.3.0370
OpenAlex: W2032830902
Cited by: 591
References: 21
Citations by year: 2026: 18 · 2025: 9 · 2024: 28 · 2023: 23 · 2022: 29 · 2021: 34 · 2020: 21 · 2019: 23 · 2018: 31 · 2017: 28 · 2016: 20 · 2015: 19 · 2014: 18 · 2013: 19 · 2012: 17
FWCI: 3.23
Type: journal article
Language: en
Open access: closed
Locations: Journal of neurosurgery (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, craniosynostosis, REM sleep, mental status, craniosynostosis surgery, pediatric patients
MeSH terms: Adolescent, Child, Child, Preschool, Craniosynostoses, Female, Humans, Infant, Intelligence, Intracranial Pressure, Male, Postoperative Period, Sleep, Sleep, REM

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Intracranial pressure in craniostenosis

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