Shunt-related craniocerebral disproportion: treatment with cranial vault expanding procedures

Neurosurgical Review
J F Martínez-LageMatías Felipe Murcia

Abstract

Two patients with intracranial arachnoid cysts, one with myelomeningocele-hydrocephalus and the other with a subdural fluid collection, were given a cerebrospinal (CSF) extracranial shunt. All four patients developed features of CSF overdrainage following shunting and were treated by cranial vault expanding procedures. Before undergoing decompressive craniotomy, the patients were treated by a variety of procedures, including changing of obstructed ventricular catheters (n=4), insertion or upgrading of programmable valves (n=3), and foramen magnum decompression (n=1). Clinical manifestations of these four patients were attributed to craniocerebral disproportion caused by chronic and progressive skull changes due to dampening of the CSF pulse pressure, which is necessary for maintaining normal cranial growth. On the basis of our previous experience with expanding craniotomies in cases of minimal forms of craniosynostosis, we treated these patients with bilateral parietal craniotomies, with satisfactory results. In conclusion, biparietal decompressive craniotomy constitutes a useful and safe procedure for relieving the clinical manifestations of some CSF overdrainage syndromes, especially in cases with slit-ventricle syndrome and ...Continue Reading

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Citations

May 15, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Juan Francisco Martinez-Lage
May 20, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Juan F Martínez-LageA López López-Guerrero
Jul 10, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jonathan RothShlomi Constantini
Aug 27, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Adam L SandlerRick Abbott
Apr 22, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Guillaume Coll, Federico Di Rocco
Nov 1, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yuichi NagataToshihiko Wakabayashi
Jun 13, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Adriaan R E Potgieser, Eelco W Hoving
Mar 22, 2008·Ophthalmic Plastic and Reconstructive Surgery·Antonio Augusto V CruzRicardo Santos de Oliveira
Nov 26, 2019·The Journal of Craniofacial Surgery·Karel-Bart CelieThomas Imahiyerobo
Nov 26, 2009·Ophthalmic Plastic and Reconstructive Surgery·Francesco P BernardiniEnrico Priolo
Oct 3, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Thomas BeezAndreas Röhrig
Aug 8, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Paul I HermanJoseph E Losee
Mar 30, 2017·Neurosurgical Review·Bienvenido RosMiguel A Arráez
Oct 26, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jorge Tirado-CaballeroJavier Márquez-Rivas
Aug 28, 2021·Journal of Clinical Medicine·Bienvenido RosMiguel Angel Arráez

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