Delayed Chronic Subdural Hematoma after Total Cranial Vault Reconstruction for Sagittal Synostosis

When diagnosed and treated after the first year of life, the surgical management of sagittal synostosis typically necessitates total cranial vault reconstruction. The safety of total cranial vault reshaping has improved greatly over the past 3 decades. We report on the first published case of an asy...

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Veröffentlicht in:Pediatric neurosurgery 2018-01, Vol.53 (3), p.200-204
Hauptverfasser: Pasarikovski, Christopher R., Abel, Taylor J., Forrest, Chris R., Dirks, Peter B., Ibrahim, George M.
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container_end_page 204
container_issue 3
container_start_page 200
container_title Pediatric neurosurgery
container_volume 53
creator Pasarikovski, Christopher R.
Abel, Taylor J.
Forrest, Chris R.
Dirks, Peter B.
Ibrahim, George M.
description When diagnosed and treated after the first year of life, the surgical management of sagittal synostosis typically necessitates total cranial vault reconstruction. The safety of total cranial vault reshaping has improved greatly over the past 3 decades. We report on the first published case of an asymptomatic 5-year-old patient who was found to have a large left sided chronic subdural hematoma 4 months after total cranial vault reshaping requiring surgery, detected on routine imaging. We hypothesize that augmentation of venous blood egression through the emissary veins during surgery may have led to venous hypertension and subsequently the development of the chronic subdural hematoma.
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source MEDLINE; Karger Journals
subjects Child, Preschool
Cranial Sutures - diagnostic imaging
Cranial Sutures - surgery
Craniosynostoses - diagnostic imaging
Craniosynostoses - surgery
Craniotomy - methods
Hematoma, Subdural, Chronic - diagnosis
Hematoma, Subdural, Chronic - diagnostic imaging
Hematoma, Subdural, Chronic - surgery
Humans
Male
Novel Insights from Clinical Practice
Reconstructive Surgical Procedures - methods
Skull - surgery
title Delayed Chronic Subdural Hematoma after Total Cranial Vault Reconstruction for Sagittal Synostosis
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