Document Detail

Lacunar skull deformity and hydrocephalus in infants with myelomeningocele: is lacunar skull deformity a predictor of hydrocephalus development?
MedLine Citation:
PMID:  17364208     Owner:  NLM     Status:  MEDLINE    
OBJECTS: We evaluated whether the presence of lacunar skull deformity (LSD) with myelomeningocele is a predictive factor for subsequent hydrocephalus development. MATERIALS AND METHODS: We reviewed the clinical and radiological records of 18 infants with myelomeningocele, divided the patients into groups with (group A, n=9) and without (group B, n=9) ventriculomegaly at birth and assessed whether the presence of LSD was predictive of the necessity for ventriculoperitoneal shunt (VPS) placement. RESULTS: LSD was present in five group A patients. All nine group A patients underwent VPS placement. Among the group B patients, five had LSD; they underwent VPS placement. A significantly higher proportion of those with ventricle enlargement or LSD at birth required VPS placement (p=0.0001). CONCLUSION: Adding to the ventriculomegaly at birth, the presence of LSD alerts to the necessity to monitor these infants closely to determine the necessity for VPS placement.
Kuniaki Nakahara; Satoru Shimizu; Satoshi Utsuki; Sachio Suzuki; Hidehiro Oka; Kiyotaka Fujii
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Publication Detail:
Type:  Journal Article     Date:  2007-03-16
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  23     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-06-27     Completed Date:  2007-11-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  863-5     Citation Subset:  IM    
Department of Neurosurgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 228-8555, Japan.
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MeSH Terms
Cerebral Ventriculography
Hydrocephalus / etiology*,  radiography
Infant, Newborn
Meningomyelocele / complications*,  surgery
Neurosurgical Procedures
Retrospective Studies
Skull / abnormalities*,  radiography
Spina Bifida Cystica / complications,  pathology
Tomography, X-Ray Computed

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