PMID: 11322436Apr 27, 2001Paper

Slit-ventricle syndrome secondary to shunt-induced suture ossification

Neurosurgery
A L Albright, E Tyler-Kabara

Abstract

To report five children with slit-ventricle syndrome who were found to have increased intracranial pressure despite functioning cerebrospinal fluid shunts. Computed tomographic scans demonstrated erosion of the inner table of the cranium and sclerosis of the cranial sutures, particularly the coronal suture. Magnetic resonance imaging scans demonstrated no cerebrospinal fluid over the convexities. The patients were treated with cranial expansion operations that included removal of the sclerotic sutures, which were examined histologically. Postoperatively, symptoms resolved for all children. Sutures were abnormal and contained foci of cartilage and bone within abnormally arranged fibrous tissue. We postulate that chronic overdrainage of cerebrospinal fluid via shunts dampens the normal cerebral pressure waves; growth of the calvarium is thus understimulated, and this leads to ossification of the sutures, which become unable to expand to allow normal brain growth. Shunt-induced craniostenosis should be considered for children with symptoms of slit-ventricle syndrome for whom shunts are functional but intracranial pressure is increased. Cranial expansion operations may be more appropriate treatments than subtemporal decompressions ...Continue Reading

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Citations

Feb 9, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Harold L Rekate
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
Mar 15, 2006·Neurosurgical Review·Juan F Martínez-LageMatías Felipe Murcia
Oct 2, 2008·Plastic and Reconstructive Surgery·Jeffrey WeinzweigLinton A Whitaker
Dec 29, 2013·AJR. American Journal of Roentgenology·Adam N WallaceFranz J Wippold
Oct 21, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·C Di RoccoG Tamburrini
May 5, 2009·Seminars in Pediatric Neurology·Harold L Rekate, Dory Kranz
Jul 25, 2015·Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale·P-A BeuriatC Mottolese
Dec 4, 2014·Pediatric Neurology·Haggai BenvenistiJonathan Roth
Dec 31, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nigel Peter Symss, Shizuo Oi
Jul 2, 2008·Journal of Neurosurgery. Pediatrics·Martin R WeinzierlMarcus Korinth
Apr 5, 2011·Journal of Neurosurgery. Pediatrics·Ken R WinstonDylaan Dowlati
Jun 27, 2017·Biomacromolecules·Peng ZhangErnst Wagner
Mar 22, 2018·The Journal of Craniofacial Surgery·William AbouhassanAnanth S Murthy
Sep 16, 2017·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·S A KimA A Sysoeva
Jun 9, 2005·Pediatric Neurosurgery·Jenny GoughFrancis H Tomlinson
Jun 4, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Harold L Rekate
Aug 28, 2021·Journal of Clinical Medicine·Bienvenido RosMiguel Angel Arráez

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