Clinical Significance of Venous Anomalies in Syndromic Craniosynostosis

Plastic and Reconstructive Surgery. Global Open
Andrea E CopelandChristopher R Forrest

Abstract

The pattern of cranial venous drainage in syndromic craniosynostosis is unpredictable and not adequately understood. Collateral channels substitute for stenotic venous sinuses and pose potential risk for surgical intervention. The purpose of this study was to analyze the patterns of venous drainage in patients with syndromic craniosynostosis and their influence on operative planning and morbidity. A retrospective study of patients with syndromic craniosynostosis from 2000 to 2013 was performed. Demographic data were collected including phenotype and associated pathologies. Pre- and/or postoperative venous imaging was reviewed for venous sinus stenosis, collateral emissaries, and persistent fetal sinuses. Categorization of anomalous venous drainage was performed, and the relationship with surgical morbidity was assessed. Forty-one patients were identified. Anomalies were present in 31 patients (76%) consisting of dural sinus stenosis in 28 (68%), dilated emissaries in 26 (63%), and fetal sinuses in 7 (17%). Pfeiffer syndrome was most commonly associated with anomalous drainage (100%). Venous anomalies were associated with elevated intracranial pressure (ICP), shunted hydrocephalus, Chiari malformations, and sleep apnea. In 5 cas...Continue Reading

References

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Citations

Nov 7, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Anthony AzzoliniJesse Taylor
Nov 26, 2019·The Journal of Craniofacial Surgery·Karel-Bart CelieThomas Imahiyerobo
Jan 3, 2020·The Journal of Craniofacial Surgery·Cassio Eduardo Raposo-AmaralCesar Augusto Raposo-Amaral
May 28, 2019·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Karel-Bart CelieThomas Imahiyerobo
Jul 12, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Noor-E-Seher AliNikolas H Blevins
Apr 13, 2019·Molecular Syndromology·Justine O'HaraDavid J Dunaway
May 31, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Felice D'Arco, Mario Ganau
May 23, 2020·Plastic and Reconstructive Surgery. Global Open·Cassio Eduardo Raposo-AmaralEnrico Ghizoni
Sep 11, 2020·Developmental Medicine and Child Neurology·Bianca K Den OttelanderIrene Mj Mathijssen
Feb 6, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jack SharmanNicholas White
Apr 9, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Paolo FrassanitoGianpiero Tamburrini
May 26, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Niina SalokorpiWilly Serlo
May 31, 2021·Clinics in Plastic Surgery·Laura S HumphriesJesse A Taylor
Jun 26, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Federico DI RoccoCarmine Mottolese
Jul 10, 2021·Journal of Anatomy·Stanislava EisováEmiliano Bruner
Aug 19, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·T ProtzenkoD Dain Gandelman Horovitz
Jul 23, 2021·The Journal of Craniofacial Surgery·Rami P DibbsEdward P Buchanan
Oct 2, 2021·The Journal of Craniofacial Surgery·Alistair Varidel, Damian Marucci
Apr 2, 2021·Neurosurgical Focus·Christopher M BonfieldUNKNOWN Hydrocephalus Clinical Research Network (HCRN)

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