Evaluating Trends in Headache and Revision Surgery following Cranial Vault Remodeling for Craniosynostosis

Plastic and Reconstructive Surgery
Elena PellicerEmily R Gallagher

Abstract

The recommended treatment for craniosynostosis, is cranial vault expansion to prevent increased intracranial pressure and optimize developmental outcomes. Some patients complain about postoperative headaches and occasionally require revision to treat increased intracranial pressure. This study examines whether specific factors are associated with an increased risk of postoperative headaches or intracranial hypertension. This retrospective cohort included patients with craniosynostosis from 1995 and 2010. Primary outcomes included headaches and delayed intracranial hypertension. Logistic regression was used to evaluate the associations with clinical characteristics. The cohort included 383 patients, of whom 127 (33 percent) complained of headaches. The positive predictive value of a headache indicating intracranial hypertension was only 9.4 percent among all patients and 6.7 percent among patients with nonsyndromic craniosynostosis. Headaches occurring in the morning, more than once per week, and associated with nausea, vomiting, or decreased activity level were most likely to be associated with delayed intracranial hypertension. Only 21 patients (6 percent) required revision surgery, and these patients were more likely to have ...Continue Reading

References

Sep 1, 1992·Plastic and Reconstructive Surgery·D T GaultB M Jones
Jul 1, 1992·British Journal of Plastic Surgery·H FokR Hayward
Jan 1, 1990·Journal of Clinical Epidemiology·L R FrenchL J Melton
Jan 1, 1985·American Journal of Diseases of Children·A ShuperS H Reisner
Jan 11, 2001·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D RenierD Marchac
Nov 8, 2002·Pediatric Neurosurgery·Per Kristian EideTryggve Lundar
Apr 3, 2004·Plastic and Reconstructive Surgery·John P ConnollyMichael L Cunningham
Apr 15, 2005·Seminars in Pediatric Neurology·Ruth E BristolHarold L Rekate
May 5, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·G TamburriniC Di Rocco
May 26, 2005·The Journal of Craniofacial Surgery·Gregory P L ThomasSteven A Wall
Jul 28, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Deepak AgrawalD Douglas Cochrane
Mar 5, 2008·Plastic and Reconstructive Surgery·Kimberly A FosterMcKay McKinnon
Jan 1, 2009·Plastic and Reconstructive Surgery·Jeffrey R ScottRichard A Hopper
Dec 25, 2009·The Journal of Craniofacial Surgery·Eric ArnaudDominique Renier
Sep 30, 2010·Developmental Medicine and Child Neurology·Ishaq Abu-ArafehCatriona Graham
Jul 5, 2011·Journal of Neurosurgery. Pediatrics·Mitchel SeruyaRobert F Keating
Aug 19, 2011·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Joseph G McCarthyUNKNOWN Craniosynostosis Working Group
Apr 16, 2013·Journal of Neurosurgery. Pediatrics·Justin S CetasNathan R Selden
May 30, 2013·The Journal of Craniofacial Surgery·Anna A KuangNathan R Selden
Sep 26, 2013·The Journal of Headache and Pain·Benedetta BelliniVincenzo Guidetti
Oct 1, 2013·Plastic and Reconstructive Surgery·Mitchel SeruyaDavid K Chong
Jan 11, 2014·The Journal of Craniofacial Surgery·Chester K YarbroughAlbert S Woo
Feb 18, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Christopher M BonfieldIan F Pollack
Dec 4, 2014·The Journal of Craniofacial Surgery·Youssef TahiriJesse A Taylor
Jan 7, 2015·Journal of Neurosurgery. Pediatrics·Gregory P L ThomasSteven A Wall
May 2, 2015·Neurosurgical Focus·Eisha A ChristianMark D Krieger

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Citations

Dec 7, 2018·The Journal of Craniofacial Surgery·Shigeo KyutokuKoichi Ueda
Jun 27, 2020·Plastic and Reconstructive Surgery·Christopher M RunyanLisa David
Jul 10, 2021·The Journal of Craniofacial Surgery·Mark H MooreCindy J Molloy
Jan 19, 2022·Plastic and Reconstructive Surgery·Christopher L KalmarJordan W Swanson

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