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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“45 Thompson et al similarly found evidence of elevated ICP in 28 of 52 (53”
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Background
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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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