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Hydrocephalus and craniosynostosis
Abstract
OBJECT: A retrospective study of 1727 cases of craniosynostosis was undertaken to determine the interrelationship between abnormal cerebrospinal fluid (CSF) hydrodynamics and craniosynostosis. METHODS: The patients were divided into two groups: nonsyndromic craniosynostosis and syndromic craniosynostosis. Cases of occipital plagiocephaly without suture synostosis and cases of shunt-induced craniosynostosis were excluded from the study. The majority of patients (1297) were treated surgically for their cranial deformity; 95% of these patients had a postoperative follow-up review period lasting 5 years. Clinical and radiographic charts covering the time from presentation through the follow-up period were reviewed. CONCLUSIONS: Abnormal intracranial CSF hydrodynamics was found in 8.1% of the patients (3.4% of whom had received shunts and 4.5% of whom had not). Three types of CSF hydrodynamic disturbance were observed: progressive hydrocephalus with ventricular dilation, nonprogressive ventriculomegaly, and dilation of the subarachnoid spaces. Hydrocephalus occurred much more frequently in patients with syndromic craniosynostosis (12.1%) than in those with isolated craniosynostosis (0.3%). In fact, patients with kleeblattschädel exhibited hydrocephalus as a constant feature and patients with Crouzon's syndrome were far more likely to have hydrocephalus than those with other syndromes. In Apert's syndrome, ventricular dilation occurred very frequently, but it was almost always nonprogressive in nature. In most cases of syndromic craniosynostosis, venous sinus obstruction and/or chronic tonsillar herniation were found. Their role in the pathophysiology of hydrocephalus in craniosynostosis is discussed.
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“It occurs more frequently in boys than in girls.”
From Isolated Sagittal Craniosynostosis: A Comprehensive Review (2024) · cites this paper as [4]
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Tsitouridis, I. A., Papapostolou, P., Chondromatidou, S., Siouggaris, N., Goutsaridou, F., Emmanouilidou, M., Tarazi, L., Papastergiou, C., Tsandiridis, C., & Kontaki, T. (2006) · Rivista di Neuroradiologia · doi:10.1177/197140090601900112 · Cited by 1
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A, R. M. F., Pueyrredón, F. J., G, V. Q. D., Campana, J. D., Garavaglia, F. I., & Herrera, E. J. (2022) · Research Square · doi:10.21203/rs.3.rs-1535201/v1 · Cited by 1
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Toldo, I., & Drigo, P. (2005) · Rivista di Neuroradiologia · doi:10.1177/197140090501800304
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이준수, 이준석, & 김교륭 (2009) · Annals of Child Neurology · doi:10.26815/jkcns.2009.17.2.242
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Genetics of Human Hydrocephalus
Santoro, C. (2018) · Springer eBooks · doi:10.1007/978-3-319-31889-9_1-1
Manajemen Anestesi untuk Tindakan Vp-Shunt pada Bayi Sindrom Crouzon dengan Hidrosefalus
Bangun, C. G., Mafiana, R. N., & Gaus, S. (2019) · Jurnal Neuroanestesi Indonesia · doi:10.24244/jni.vol8i1.211
CLINICAL FINDINGS OF 2-MONTHS-OLD BABY WITH APERT SYNDROME: A RARE CASE REPORT
Reynaldo, G., Desiree, A., & Tjakra, A. (2019) · International Journal of Medical and Biomedical Studies · doi:10.32553/ijmbs.v3i12.752
CRANIOFACIAL RECONSTRUCTIONS IN CHILDREN WITH CRANIOSYNOSTOSIS
Spazzapan, P., Kočar, M., Eberlinc, A., & Velnar, T. (2021) · Slovenska pediatrija revija pediatrov Slovenije in specialistov šolske ter visokošolske medicine Slovenije · doi:10.38031/slovpediatr-2021-2-01en
Neurosurgical Investigation of Craniofacial Malformations
Hoffmann, B., Meyer, U., & Schick, U. (2021) · Springer eBooks · doi:10.1007/978-3-030-46024-2_20
Brain Development in Syndromic Craniosynostosis: A Morphometric Analysis
Wilson, A. T. (2021) · RePub (Erasmus University Rotterdam)
Spennato, P., Mirone, G., Ruggiero, C., Cicala, D., Santinelli, O., & Cinalli, G. (2018) · Springer eBooks · doi:10.1007/978-3-319-31889-9_93-1
Self-citationSpennato, P., Mirone, G., Ruggiero, C., Cicala, D., Santinelli, O., & Cinalli, G. (2019) · Springer eBooks · doi:10.1007/978-3-319-27250-4_93
Self-citationNeuroimaging in Pediatric Hydrocephalus
Raybaud, C. (2017) · Springer eBooks · doi:10.1007/978-3-319-31512-6_15-1 · Cited by 2
(2008) · Springer eBooks · doi:10.1007/978-3-540-75653-8_10
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Jimenez, D. F. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-72175-2.00003-1
Metadata
- Authors
- Cinalli, G., Sainte-Rose, C., Kollar, E. M., Zerah, M., Brunelle, F., Chumas, P., Arnaud, E., Marchac, D., Pierre-Kahn, A., & Renier, D.
- Affiliations
- Hôpital Necker-Enfants Malades (FR)
- Venue
- Journal of neurosurgery
- Published
- 1998-02
- Volume
- 88
- Issue
- 2
- Pages
- 209-214
- ISSN
- 0022-3085 (ISSN-L)
- OpenAlex
- W2155932531
- Cited by
- 224
- References
- 30
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 22 · 2023: 11 · 2022: 12 · 2021: 17 · 2020: 11 · 2019: 21 · 2018: 11 · 2017: 15 · 2016: 7 · 2015: 8 · 2014: 2 · 2013: 5 · 2012: 11
- FWCI
- 1.33
- 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 › Cerebrospinal fluid and hydrocephalus
- Health Sciences › Medicine › Clinical Neurology › Spinal Dysraphism and Malformations
- Keywords
- craniosynostosis, hydrocephalus, cerebrospinal fluid dynamics, syndromic craniosynostosis, nonsyndromic craniosynostosis, ventriculomegaly, Crouzon syndrome, Apert syndrome, cerebellar tonsil herniation, cranial deformity surgery
- MeSH terms
- Acrocephalosyndactylia, Brain, Child, Preschool, Craniofacial Dysostosis, Craniosynostoses, Humans, Hydrocephalus, Infant, Retrospective Studies, Syndrome, Tomography, X-Ray Computed, Disease Progression
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