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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Background
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Background
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Background
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Craniosynostosis
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Background
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BackgroundInfluential
Giant pattern VEPs in children
Thompson, D., Marmoy, O. R., Prise, K. L., Reynolds, V. M., Handley, S. E., Versace, D. M., Kafiabadi, S., Mankad, K., Panteli, V., Schwiebert, K., et al. (2021) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2021.07.008 · Cited by 6
Cranioectodermal dysplasia with sagittal craniosynostosis (Sensenbrenner's syndrome): Case report and review of the literature
Genitori, L., Lang, D., Philip, N., Cavalheiro, S., Lena, G., & Choux, M. (1992) · British Journal of Neurosurgery · doi:10.3109/02688699209002380 · Cited by 6
Intracranial Pressure Measurement in Infants Presenting with Progressive Macrocephaly and Enlarged Subarachnoid Spaces
Schulz, M., Ahmadi, S. A., Spors, B., & Thomale, U. (2012) · Acta neurochirurgica. Supplementum · doi:10.1007/978-3-7091-0956-4_51 · Cited by 6
Les craniosténoses: physiopathologie
Rénier, D., Arnaud, É., & Marchac, D. (2006) · Neurochirurgie · doi:10.1016/s0028-3770(06)71215-2 · Cited by 6
A computer-based method for comparisons of continuous intracranial pressure recordings within individual cases
Eide, P. K., & Fremming, A. D. (2003) · Acta Neurochirurgica · doi:10.1007/s00701-003-0029-y · Cited by 6
“The traditional methods include calculation of baseline or mean ICP and the visual inspection of the ICP curves for the presence of plateau waves (Lundberg’s A and B waves) [13, 18 ].”
BackgroundMethodInfluential
Cleft and Craniofacial Surgery
Steinberg, B., Caccamese, J. F., Costello, B. J., & Woerner, J. E. (2017) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2017.04.031 · Cited by 6
Frontoorbital reconstruction
Buchman, S. R., & Muraszko, K. M. (2002) · Atlas of the Oral and Maxillofacial Surgery Clinics · doi:10.1016/s1061-3315(01)00002-6 · Cited by 6
Osteoclastic craniectomy for scaphocephaly in infants results in physiological head shapes
Lehner, M., Ferrari-von Klot, F., Zundel, S., & Wendling-Keim, D. (2019) · Journal of Cranio-Maxillofacial Surgery · doi:10.1016/j.jcms.2019.10.006 · Cited by 6
Optic Nerve Head Morphological Variation in Craniosynostosis: A Cohort Study
Rufai, S. R., Thomas, M. G., Marmoy, O. R., Panteli, V., Thompson, D., Bunce, C., Henderson, R., Gore, S. K., James, G., Gottlob, I., et al. (2024) · American Journal of Ophthalmology · doi:10.1016/j.ajo.2024.08.021 · Cited by 5
Recognition of intracranial hypertension using handheld optical coherence tomography in children (RIO Study): a diagnostic accuracy study protocol
Rufai, S. R., Jeelani, O., Bowman, R. J. C., Bunce, C., Proudlock, F. A., & Gottlob, I. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-048745 · Cited by 5
Neuroimaging in Nonsyndromic Craniosynostosis: Key Concepts to Unlock Innovation
Russo, C., Aliberti, F., Ferrara, U. P., Russo, C., Gennaro, D. V. D., Cristofano, A., Nastro, A., Cicala, D., Spennato, P., Quarantelli, M., et al. (2024) · Diagnostics · doi:10.3390/diagnostics14171842 · Cited by 5
Postnatal Pancraniosynostosis in a Patient with Infantile Hypophosphatasia
Nahabet, E. H., Gatherwright, J. R., Vockley, J. E., Henderson, N. D., Tomei, K. L., Grigorian, A. P., Kaminski, B. A., Bass, N. E., Selman, W. R., & Lakin, G. E. (2015) · The Cleft Palate-Craniofacial Journal · doi:10.1597/15-027 · Cited by 5
“The mainstay of treatment in patients with craniosynostosis is surgical correction to release the fused sutures, expand the skull, avoid elevated ICP, improve neurologic development, and normalize appearance (Re- nier et al., 1982; Fearon, 2014).”
Background
Staged Raising of a Coronal Flap for Fronto-Orbital Advancement and Remodeling in Saethre–Chotzen Syndrome Complicated by Sinus Pericranii
Shaw, A. V., Jayamohan, J., Sheerin, F., & Johnson, D. (2018) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000004786 · Cited by 5
“Raised intracranial pressure is a welldocumented complication of premature suture closure in craniosynostosis, and indication for surgery.(28,29) It has also been suggested that associated hypoplastic venous sinuses, which are seen concurrently in some patients with craniosynostosis, can cause venous hypertension.”
Background
Clinical Practice Patterns in Nonsyndromic Craniosynostosis: A Review of Continuous Certification Tracer Data From the American Board of Plastic Surgery
Yuksel, S. S., Kearney, A. M., Taub, P. J., & Gosain, A. K. (2021) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000007592 · Cited by 5
Scaphocephaly and increased intra-cranial pressure in non-operated adults: A controlled anthropological study on 21 skulls
Delattre, M.-H., Hennocq, Q., Stricker, S., D, G. P. M., & Khonsari, R. H. (2022) · Journal of Stomatology Oral and Maxillofacial Surgery · doi:10.1016/j.jormas.2022.01.012 · Cited by 5
Cleft and Craniofacial Surgery
Steinberg, B., Caccamese, J. F., & Padwa, B. L. (2012) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.joms.2012.07.034 · Cited by 5
Anterior Cranial Vault Distraction for the Treatment of Normocephalic Pancraniosynostosis
Wong, S. L., Nagengast, E. S., & Miller, J. J. (2016) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000002452 · Cited by 5
“Nevertheless, in both groups the lack of calvarial dysmorphology causes these patients to go undiagnosed until symptoms and consequences of increased intracranial pressure develop.1–3 Normocephalic pancraniosynostosis usually presents much later in childhood with symptoms of elevated intracranial pressure such as papi…”
Background
The Most Frequently Cited References in the Articles Published in the Journal of Craniofacial Surgery Between 1995 and 2020
Bahşi, A., Tekin, A., & Bahşi̇, İ. (2021) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000008025 · Cited by 5
Retrospective Investigation of Cranial Volume and Cephalic Index in Patients with Nonsyndromic Sagittal Synostosis Operated by Total Vault Remodeling
Goetzinger, M., Verius, M., Eder, R., Laimer, I., & Rasse, M. (2022) · Pediatric Neurosurgery · doi:10.1159/000525114 · Cited by 5
Analysis of Intracranial Pressure and Operative Procedures for Craniosynostosis
Oi, S., Okuda, Y., SASAKI, K., Yamada, H., Ijichi, A., & Matsumoto, S. (1987) · Neurologia medico-chirurgica · doi:10.2176/nmc.27.110 · Cited by 5
Serial Head Circumference and Neurodevelopmental Screening after Surgical Correction for Single- and Multiple-Suture Craniosynostosis
Carlisle, M. P., Mehta, S. T., Sykes, K. J., & Singhal, V. K. (2011) · The Cleft Palate-Craniofacial Journal · doi:10.1597/10-280 · Cited by 5
“In fact, a low-grade increase in ICP in individuals with nonsyndromic craniosynostosis has been documented in multiple studies (Renier et al., 1982; Gault et al., 1992; Thompson et al., 1995; Cohen and Persing, 1998); however, the ND significance of these findings is unclear.”
Background
Intracranial changes with unilateral coronal synostosis
Aoki, N. (1984) · Surgical Neurology · doi:10.1016/0090-3019(84)90008-9 · Cited by 5
Craniofacial malformation treatment: craniosynostosis and positional plagiocephaly
Park, D. H., & Yoon, S. H. (2012) · Journal of Korean Medical Association · doi:10.5124/jkma.2012.55.9.878 · Cited by 5
“J Korean Med Assoc 2012 September; 55(9): 878-886 보고도 있지만 과거의 대부분의 보고에서 뇌압상승이 흔하 지 않다고 했기 때문에 뇌압상승을 예방하거나 치료하기 위 해서 보다는 단순한 미용을 위한 수술이라는 주장도 무시할 수만은 없다[21,35-37].”
Increased Frequency of Left-Handedness in Patients with Unilateral Coronal Synostosis
Oh, A. K., Mulliken, J. B., LaBrie, R. A., & Rogers, G. F. (2009) · The Cleft Palate-Craniofacial Journal · doi:10.1597/07-232.1 · Cited by 5
Sleep in Traumatic Brain Injury and Other Acquired CNS Conditions
Mahowald, M. W. (1999) · CRC Press eBooks · doi:10.1201/9780824741914.ch18 · Cited by 5
Optical Coherence Tomography for the Noninvasive Detection of Elevated Intracranial Pressure
Brodsky, M. C., Chen, J. J.-W., & Wetjen, N. M. (2017) · JAMA Ophthalmology · doi:10.1001/jamaophthalmol.2017.0021 · Cited by 5
Orbital Hypertelorism
Arnaud, É., Marchac, D., & Rénier, D. (2009) · Elsevier eBooks · doi:10.1016/b978-1-4160-4081-1.50040-0 · Cited by 5
Anesthetic Considerations for Pediatric Craniofacial Surgery
Meier, N. (2021) · Anesthesiology Clinics · doi:10.1016/j.anclin.2020.10.002 · Cited by 4
Posterior cranial vault distraction osteogenesis in the immunocompromised patient
Sullivan, J. S., Snider, A. E., Farrington, J., Shiflett, J. M., Weaver, K. J., Humphries, L. S., & Hoppe, I. C. (2021) · Child s Nervous System · doi:10.1007/s00381-021-05202-y · Cited by 4
Secondary Surgery in Metopic Craniosynostosis: Outcomes in a Tertiary Care Craniofacial Center in Australia
Chaisrisawadisuk, S., Anderson, P. J., & Moore, M. H. (2021) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000008333 · Cited by 4
Plastic Surgery Mortality
Levine, S. M., Wilson, S. C., Sinno, S., Rothwax, J. T., Dillon, A. B., & Saadeh, P. B. (2014) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000000369 · Cited by 4
Treatment Type Is Associated with Population Hand Preferences in Patients with Unilateral Coronal Synostosis
Rogers, G. F., Wood, B. C., AMDUR, R. L., Jeelani, Y., Reddy, S. K., Proctor, M. R., & Oh, A. K. (2015) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000001806 · Cited by 4
Frontal sinus hypoplasia in unoperated older patients with craniosynostosis: a pilot study
Pandey, S. K., Kalmar, C. L., Bonfield, C. M., & Golinko, M. S. (2023) · Child s Nervous System · doi:10.1007/s00381-023-05927-y · Cited by 4
Speech and Language Development, Hearing, and Feeding in Patients With Genetically Confirmed Crouzon Syndrome With Acanthosis Nigricans: A 36-Year Longitudinal Retrospective Review of Patients at the Oxford Craniofacial Unit
Kilcoyne, S., Scully, P., Overton, S., Brockbank, S., Thomas, G. P. L., Ching, R. C., Jayamohan, J., Ramsden, J. D., Jones, J. W., Wilkie, A. O. M., et al. (2024) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000010085 · Cited by 4
Long-term results of minimally invasive strip craniectomy without helmet therapy for scaphocephaly – a single-centre experience
Lutz, K., Röhrig, A., Hourani, J. A., Kunze, S. C., Forkosh, J., Wermelinger, J., & Messing‐Jünger, M. (2024) · Neurosurgical Review · doi:10.1007/s10143-024-02406-z · Cited by 4
Anterior Fontanelle Pressure Recording with the Rotterdam Transducer: Variation of Normal Parameters with Age
Massager, N., Wayenberg, J., Vermeylen, D., & Brotchi, J. (1998) · Springer eBooks · doi:10.1007/978-3-7091-6475-4_17 · Cited by 4

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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