External-internal cranial expansion to treat patients with craniocerebral disproportion due to post-shunt craniosynostosis: a case series.
Cranial decompression
Hydrocephalus
Secondary craniosynostosis
Slit ventricle syndrome
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227
Informations de publication
Date de publication:
04 2023
04 2023
Historique:
received:
31
10
2022
accepted:
06
11
2022
medline:
8
5
2023
pubmed:
2
12
2022
entrez:
1
12
2022
Statut:
ppublish
Résumé
Secondary craniosynostosis subsequent to shunting is one of the late complications of ventricular shunt placement in the early childhood. Several interventions have been used to treat high intracranial pressure associated with this condition. This study aimed to evaluate the patients' clinical symptoms and head circumference before and after a method of decompressive craniotomy, coined as external-internal cranial expansion (EICE). A retrospective study was conducted, and the patients who had undergone EICE for the treatment of post-shunt craniosynostosis between 2010 and 2020 were enrolled. This approach was a combination of a hinge multiple-strut decompressive craniectomy and internal cranial flap thinning by drill. Data, extracted from medical records, were used to evaluate the patients' symptoms and head circumferences before and 12 months after surgery. A total of 16 patients were enrolled in the study, of which eight were females. Before the surgery, 9 patients (56.2%) suffered from visual impairment, and all had intractable headache. Papilledema was recorded in all, with 3 cases having optic disc paleness. After cranial expansion, only two patients had headaches, diagnosed as migraine-type and psychosomatic headaches, respectively. In two patients, progressive visual impairments got worsening after surgery, which would be due to severe preoperative optic nerve atrophy. Patients' head circumferences significantly increased after the surgery (mean of 48.97 ± 4.28 cm vs. 45.78 ± 4.31 cm; P value < 0.0001). In lower resource countries, where newer technologies like distraction osteogenesis is not easily available, external-internal cranial expansion can be considered an effective alternative for patients with post-shunt craniosynostosis.
Identifiants
pubmed: 36456748
doi: 10.1007/s00381-022-05744-9
pii: 10.1007/s00381-022-05744-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
953-961Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Albright AL, Tyler-Kabara E (2001) Slit-ventricle syndrome secondary to shunt-induced suture ossification. Neurosurgery 48(4):764–769. https://doi.org/10.1097/00006123-200104000-00013 (discussion 769–770)
doi: 10.1097/00006123-200104000-00013
pubmed: 11322436
Aoki N (1990) Lumboperitoneal shunt: clinical applications, complications, and comparison with ventriculoperitoneal shunt. Neurosurgery 26(6):998–1003 (discussion 1003–1004)
doi: 10.1227/00006123-199006000-00013
pubmed: 2362678
Aschoff A, Kremer P, Hashemi B, Kunze S (1999) The scientific history of hydrocephalus and its treatment. Neurosurg Rev 22(2–3):67–93. https://doi.org/10.1007/s101430050035 (discussion 94–65)
doi: 10.1007/s101430050035
pubmed: 10547004
Baskin JJ, Manwaring KH, Rekate HL (1998) Ventricular shunt removal: the ultimate treatment of the slit ventricle syndrome. J Neurosurg 88(3):478–484. https://doi.org/10.3171/jns.1998.88.3.0478
doi: 10.3171/jns.1998.88.3.0478
pubmed: 9488301
Selman WR, Spetzler RF, Wilson CB, Grollmus JW (1980) Percutaneous lumboperitoneal shunt: review of 130 cases. Neurosurgery 6(3):255–257. https://doi.org/10.1227/00006123-198003000-00005
doi: 10.1227/00006123-198003000-00005
pubmed: 7383288
Epstein F, Lapras C, Wisoff JH (1988) ‘Slit-ventricle syndrome’: etiology and treatment. Pediatr Neurosci 14(1):5–10
doi: 10.1159/000120354
pubmed: 3217284
Olson S (2004) The problematic slit ventricle syndrome. A review of the literature and proposed algorithm for treatment. Pediatr Neurosurg 40(6):264–269. https://doi.org/10.1159/000083738
doi: 10.1159/000083738
pubmed: 15821356
Ryoo HG, Kim SK, Cheon JE, Lee JY, Wang KC, Phi JH (2014) Slit ventricle syndrome and early-onset secondary craniosynostosis in an infant. Am J Case Rep 15:246–253. https://doi.org/10.12659/ajcr.890590
doi: 10.12659/ajcr.890590
pubmed: 24944727
pmcid: 4061147
Faulhauer K, Schmitz P (1978) Overdrainage phenomena in shunt treated hydrocephalus. Acta Neurochir (Wien) 45(1–2):89–101. https://doi.org/10.1007/bf01774384
doi: 10.1007/bf01774384
pubmed: 742440
Weinzweig J, Bartlett SP, Chen JC, Losee J, Sutton L, Duhaime AC, Whitaker LA (2008) Cranial vault expansion in the management of postshunt craniosynostosis and slit ventricle syndrome. Plast Reconstr Surg 122(4):1171–1180. https://doi.org/10.1097/PRS.0b013e3181858c84
doi: 10.1097/PRS.0b013e3181858c84
pubmed: 18827653
Gault DT, Renier D, Marchac D, Jones BM (1992) Intracranial pressure and intracranial volume in children with craniosynostosis. Plast Reconstr Surg 90(3):377–381. https://doi.org/10.1097/00006534-199209000-00003
doi: 10.1097/00006534-199209000-00003
pubmed: 1513883
Kabbani H, Raghuveer TS (2004) Craniosynostosis. Am Fam Physician 69(12):2863–2870
pubmed: 15222651
Martínez-Lage JF, Ruiz-Espejo Vilar A, Pérez-Espejo MA, Almagro MJ, de San R, Pedro J, Felipe Murcia M (2006) Shunt-related craniocerebral disproportion: treatment with cranial vault expanding procedures. Neurosurg Rev 29(3):229–235. https://doi.org/10.1007/s10143-006-0022-z
doi: 10.1007/s10143-006-0022-z
pubmed: 16534633
Eide PK, Helseth E, Due-Tønnessen B, Lundar T (2001) Changes in intracranial pressure after calvarial expansion surgery in children with slit ventricle syndrome. Pediatr Neurosurg 35(4):195–204. https://doi.org/10.1159/000050421
doi: 10.1159/000050421
pubmed: 11694797
Epstein FJ, Fleischer AS, Hochwald GM, Ransohoff J (1974) Subtemporal craniectomy for recurrent shunt obstruction secondary to small ventricles. J Neurosurg 41(1):29–31. https://doi.org/10.3171/jns.1974.41.1.0029
doi: 10.3171/jns.1974.41.1.0029
pubmed: 4545809
Gough J, Walker DG, Theile R, Tomlinson FH (2005) The role of cranial expansion for craniocephalic disproportion. Pediatr Neurosurg 41(2):61–69. https://doi.org/10.1159/000085158
doi: 10.1159/000085158
pubmed: 15942275
Hirabayashi S, Sugawara Y, Sakurai A, Harii K, Park S (1998) Frontoorbital advancement by gradual distraction. Technical note J Neurosurg 89(6):1058–1061. https://doi.org/10.3171/jns.1998.89.6.1058
doi: 10.3171/jns.1998.89.6.1058
pubmed: 9833840
Park DH, Chung J, Yoon SH (2009) The role of distraction osteogenesis in children with secondary craniosynostosis after shunt operation in early infancy. Pediatr Neurosurg 45(6):437–445. https://doi.org/10.1159/000277618
doi: 10.1159/000277618
pubmed: 20110756
Kloss JL (1968) Craniosynostosis secondary o ventriculoatrial shunt. Am J Dis Child 116(3):315–317. https://doi.org/10.1001/archpedi.1968.02100020317015
doi: 10.1001/archpedi.1968.02100020317015
pubmed: 4877712
Hoffman HJ, Tucker WS (1976) Cephalocranial disproportion. A complication of the treatment of hydrocephalus in children. Childs Brain 2(3):167–176
pubmed: 971636
Hyde-Rowan MD, Rekate HL, Nulsen FE (1982) Reexpansion of previously collapsed ventricles: the slit ventricle syndrome. J Neurosurg 56(4):536–539. https://doi.org/10.3171/jns.1982.56.4.0536
doi: 10.3171/jns.1982.56.4.0536
pubmed: 7062125
Yoon MK, Parsa AT, Horton JC (2013) Skull thickening, paranasal sinus expansion, and sella turcica shrinkage from chronic intracranial hypotension. J Neurosurg Pediatr 11(6):667–672. https://doi.org/10.3171/2013.2.Peds12560
doi: 10.3171/2013.2.Peds12560
pubmed: 23540524
Moseley JE, Rabinowitz JG, Dziadiw R (1966) Hyperostosis cranii ex vacuo. Radiology, 87(6):1105-1107 passim. https://doi.org/10.1148/87.6.1105
doi: 10.1148/87.6.1105
pubmed: 5332740
Rekate HL (1993) Classification of slit-ventricle syndromes using intracranial pressure monitoring. Pediatr Neurosurg 19(1):15–20. https://doi.org/10.1159/000120694
doi: 10.1159/000120694
pubmed: 8422323
Ros B, Iglesias S, Linares J, Cerro L, Casado J, Arráez MA (2021) Shunt overdrainage: reappraisal of the syndrome and proposal for an integrative model. J Clin Med 10(16). https://doi.org/10.3390/jcm10163620
Sandler AL, Goodrich JT, Daniels LB 3rd, Biswas A, Abbott R (2013) Craniocerebral disproportion: a topical review and proposal toward a new definition, diagnosis, and treatment protocol. Childs Nerv Syst 29(11):1997–2010. https://doi.org/10.1007/s00381-013-2257-7
doi: 10.1007/s00381-013-2257-7
pubmed: 23974969
Di Rocco C, Velardi F (2003) Acquired Chiari type I malformation managed by supratentorial cranial enlargement. Childs Nerv Syst 19(12):800–807. https://doi.org/10.1007/s00381-003-0837-7
doi: 10.1007/s00381-003-0837-7
pubmed: 14586634
Burger R, Duncker D, Uzma N, Rohde V (2008) Decompressive craniotomy: durotomy instead of duroplasty to reduce prolonged ICP elevation. Acta Neurochir Suppl 102:93–97. https://doi.org/10.1007/978-3-211-85578-2_19
doi: 10.1007/978-3-211-85578-2_19
pubmed: 19388296