| Resolution of syndromic craniosynostosis-associated Chiari malformation Type I without suboccipital decompression after posterior cranial vault release. | |
| | |
MedLine Citation:
|
PMID: 22295912 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Chiari malformation Type I (CM-I) is associated with syndromic and nonsyndromic craniosynostosis in pediatric patients, and the surgical management of CM-I in such cases is controversial. Previous guidelines have recommended simultaneous cranial vault expansion and suboccipital decompression. However, spontaneous resolution of CM-I has been observed, and the combined procedure carries additional surgical risks. The authors report the case of a 6-month-old boy with Crouzon syndrome, CM-I, and a cervical syrinx who underwent posterior cranial vault release without suboccipital decompression. Imaging at the 3-month follow-up visit demonstrated complete resolution of the CM-I, improvement in CSF flow, and reduction in the size of the syrinx. This case suggests that up-front suboccipital decompression may not be necessary in patients with craniosynostosis and CM-I. A strategy of initial cranial vault release, followed by watchful waiting and radiographic surveillance, is proposed. |
| | |
Authors:
|
Michael R Levitt; Toba N Niazi; Richard A Hopper; Richard G Ellenbogen; Jeffrey G Ojemann |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of neurosurgery. Pediatrics Volume: 9 ISSN: 1933-0715 ISO Abbreviation: J Neurosurg Pediatr Publication Date: 2012 Feb |
Date Detail:
|
Created Date: 2012-02-02 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101463759 Medline TA: J Neurosurg Pediatr Country: United States |
Other Details:
|
Languages: eng Pagination: 111-5 Citation Subset: IM |
Affiliation:
|
Department of Neurosurgery. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cytosolic Ca2+ regulates the energisation of isolated brain mitochondria by formation of pyruvate th...
Next Document: Development of secondary unilateral coronal suture synostosis with a sagittal suture synostosis in a...