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 |
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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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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.</description><identifier>ISSN: 1016-2291</identifier><identifier>EISSN: 1423-0305</identifier><identifier>DOI: 10.1159/000487809</identifier><identifier>PMID: 29672313</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>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</subject><ispartof>Pediatric neurosurgery, 2018-01, Vol.53 (3), p.200-204</ispartof><rights>2018 S. 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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.</description><subject>Child, Preschool</subject><subject>Cranial Sutures - diagnostic imaging</subject><subject>Cranial Sutures - surgery</subject><subject>Craniosynostoses - diagnostic imaging</subject><subject>Craniosynostoses - surgery</subject><subject>Craniotomy - methods</subject><subject>Hematoma, Subdural, Chronic - diagnosis</subject><subject>Hematoma, Subdural, Chronic - diagnostic imaging</subject><subject>Hematoma, Subdural, Chronic - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Novel Insights from Clinical Practice</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Skull - surgery</subject><issn>1016-2291</issn><issn>1423-0305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0DtPwzAUBWALgSgUBnaEIrHAEPAjL4-oFIpUAaKFNbrxowSSuNjO0H-Pq5ZOTNe6-nSsexA6I_iGkJTfYoyTIi8w30NHJKEsxgyn--GNSRZTyskAHTv3hXHAPDlEA8qznDLCjlB1rxpYKRmNPq3pahHN-kr2FppoolrwpoUItFc2mhsfliMLXR3mB_SNj96UMJ3zthe-Nl2kjY1msKj9Ws5WnXHeuNqdoAMNjVOn2zlE7w_j-WgST18en0Z301gwlvhYFRXNq1xkGkAISFQuhGKFzHQiq0yznGThHJnzHHSKCYFUKhCSpVlKJUsqNkRXm9ylNT-9cr5saydU00CnTO9KimnB04IXPNDrDRXWOGeVLpe2bsGuSoLLdaXlrtJgL7axfdUquZN_HQZwuQHfYBfK7sDr83gTUS6lDur8X7X95RezoIeL</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Pasarikovski, Christopher R.</creator><creator>Abel, Taylor J.</creator><creator>Forrest, Chris R.</creator><creator>Dirks, Peter B.</creator><creator>Ibrahim, George M.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180101</creationdate><title>Delayed Chronic Subdural Hematoma after Total Cranial Vault Reconstruction for Sagittal Synostosis</title><author>Pasarikovski, Christopher R. ; Abel, Taylor J. ; Forrest, Chris R. ; Dirks, Peter B. ; Ibrahim, George M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c334t-e8b27b7c6faacca4e7cce38d6f4db6f3716016d797af5011a5deacd35652d34b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Child, Preschool</topic><topic>Cranial Sutures - diagnostic imaging</topic><topic>Cranial Sutures - surgery</topic><topic>Craniosynostoses - diagnostic imaging</topic><topic>Craniosynostoses - surgery</topic><topic>Craniotomy - methods</topic><topic>Hematoma, Subdural, Chronic - diagnosis</topic><topic>Hematoma, Subdural, Chronic - diagnostic imaging</topic><topic>Hematoma, Subdural, Chronic - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Novel Insights from Clinical Practice</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Skull - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pasarikovski, Christopher R.</creatorcontrib><creatorcontrib>Abel, Taylor J.</creatorcontrib><creatorcontrib>Forrest, Chris R.</creatorcontrib><creatorcontrib>Dirks, Peter B.</creatorcontrib><creatorcontrib>Ibrahim, George M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pasarikovski, Christopher R.</au><au>Abel, Taylor J.</au><au>Forrest, Chris R.</au><au>Dirks, Peter B.</au><au>Ibrahim, George M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delayed Chronic Subdural Hematoma after Total Cranial Vault Reconstruction for Sagittal Synostosis</atitle><jtitle>Pediatric neurosurgery</jtitle><addtitle>Pediatr Neurosurg</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>53</volume><issue>3</issue><spage>200</spage><epage>204</epage><pages>200-204</pages><issn>1016-2291</issn><eissn>1423-0305</eissn><abstract>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.</abstract><cop>Basel, Switzerland</cop><pmid>29672313</pmid><doi>10.1159/000487809</doi><tpages>5</tpages></addata></record> |
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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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