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Erschienen in: Neurosurgical Review 3/2006

01.07.2006 | Original Article

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

verfasst von: Juan F. Martínez-Lage, Antonio Ruiz-Espejo Vilar, Miguel A. Pérez-Espejo, María-José Almagro, Javier Ros de San Pedro, Matías Felipe Murcia

Erschienen in: Neurosurgical Review | Ausgabe 3/2006

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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 craniocerebral disproportion that prove to be refractory to simpler management procedures.
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Metadaten
Titel
Shunt-related craniocerebral disproportion: treatment with cranial vault expanding procedures
verfasst von
Juan F. Martínez-Lage
Antonio Ruiz-Espejo Vilar
Miguel A. Pérez-Espejo
María-José Almagro
Javier Ros de San Pedro
Matías Felipe Murcia
Publikationsdatum
01.07.2006
Verlag
Springer-Verlag
Erschienen in
Neurosurgical Review / Ausgabe 3/2006
Print ISSN: 0344-5607
Elektronische ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-006-0022-z

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