Alterations in skull base anatomy in intrauterine and postnatal repaired myelomeningoceles
Purpose The aim of this study was to analyze the skull base anatomy of patients who underwent intrauterine or postnatal myelomeningocele repair and to determine its relationship with hydrocephalus. Methods This was a retrospective cross-sectional study that analyzed three groups: the postnatal group...
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| Veröffentlicht in: | Child's nervous system 2020-11, Vol.36 (11), p.2757-2763 |
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| creator | da Costa, Marcos Devanir Silva Nicacio, Jardel Mendonça Dastoli, Patricia Alessandra Suriano, Italo Capraro Sarmento, Stéphanno Gomes Pereira Barbosa, Mauricio Mendes Moron, Antonio Fernandes Cavalheiro, Sergio |
| description | Purpose
The aim of this study was to analyze the skull base anatomy of patients who underwent intrauterine or postnatal myelomeningocele repair and to determine its relationship with hydrocephalus.
Methods
This was a retrospective cross-sectional study that analyzed three groups: the postnatal group, 57 patients who underwent myelomeningocele repair up to 48 h after birth; the fetal group, 70 patients who underwent myelomeningocele repair between 19 and 27 weeks of gestation; and a control group (65). We compared the rate of hydrocephalus treatment, the clivus-supraocciput angle (CSA), and the Welcher angle.
Results
The mean CSA in the fetal group was 87.6°, and the postnatal group was significantly different at 78.3° (
p
|
| doi_str_mv | 10.1007/s00381-020-04587-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2385708790</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2385708790</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-dd88a3801193ec40535fa25318d6021885827ff223dfb0f71f9dcaca55c14c093</originalsourceid><addsrcrecordid>eNp9kL1OwzAURi0EoqXwAgwoI0vg2o5jZ6wq_qRKLLCwWG7iVC6OHexk6NvjksLIZOnecz99PghdY7jDAPw-AlCBcyCQQ8EEz8sTNMcFpTlQBqdoDoSVOYcCZugixh0AZoJU52hGCaEVqegcfSztoIMajHcxMy6Ln6O12UZFnSmnBt_tD1PjhqDGBBp3mDdZ7-OQ1spmQffKBN1k3V5b32ln3NbX2up4ic5aZaO-Or4L9P748LZ6ztevTy-r5TqvacGHvGmEUFQAxhXVdQGMslYRRrFoSiBYiNSZt21q3LQbaDluq6ZWtWKsxkUNFV2g2ym3D_5r1HGQnYmpgVVO-zFKQgXjIHgFCSUTWgcfY9Ct7IPpVNhLDPLgVE5OZXIqf5zKMh3dHPPHTaebv5NfiQmgExDTym11kDs_Bpf-_F_sN91Jgtg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2385708790</pqid></control><display><type>article</type><title>Alterations in skull base anatomy in intrauterine and postnatal repaired myelomeningoceles</title><source>SpringerLink Journals</source><creator>da Costa, Marcos Devanir Silva ; Nicacio, Jardel Mendonça ; Dastoli, Patricia Alessandra ; Suriano, Italo Capraro ; Sarmento, Stéphanno Gomes Pereira ; Barbosa, Mauricio Mendes ; Moron, Antonio Fernandes ; Cavalheiro, Sergio</creator><creatorcontrib>da Costa, Marcos Devanir Silva ; Nicacio, Jardel Mendonça ; Dastoli, Patricia Alessandra ; Suriano, Italo Capraro ; Sarmento, Stéphanno Gomes Pereira ; Barbosa, Mauricio Mendes ; Moron, Antonio Fernandes ; Cavalheiro, Sergio</creatorcontrib><description>Purpose
The aim of this study was to analyze the skull base anatomy of patients who underwent intrauterine or postnatal myelomeningocele repair and to determine its relationship with hydrocephalus.
Methods
This was a retrospective cross-sectional study that analyzed three groups: the postnatal group, 57 patients who underwent myelomeningocele repair up to 48 h after birth; the fetal group, 70 patients who underwent myelomeningocele repair between 19 and 27 weeks of gestation; and a control group (65). We compared the rate of hydrocephalus treatment, the clivus-supraocciput angle (CSA), and the Welcher angle.
Results
The mean CSA in the fetal group was 87.6°, and the postnatal group was significantly different at 78.3° (
p
< 0.0001). The control group (89.1°) was significantly different from the postnatal group but not from the fetal group. The mean Welcher angle was not significantly different between the groups. There was an 8.5% rate of surgical treatment for hydrocephalus in the fetal group, compared with 73.6% in the postnatal group.
Conclusions
The CSA in the fetal group was larger than that in the postnatal group, which may explain the decrease in the prevalence of hydrocephalus in the fetal group.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-020-04587-6</identifier><identifier>PMID: 32239293</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Original Article</subject><ispartof>Child's nervous system, 2020-11, Vol.36 (11), p.2757-2763</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-dd88a3801193ec40535fa25318d6021885827ff223dfb0f71f9dcaca55c14c093</citedby><cites>FETCH-LOGICAL-c347t-dd88a3801193ec40535fa25318d6021885827ff223dfb0f71f9dcaca55c14c093</cites><orcidid>0000-0003-3552-6347</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-020-04587-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-020-04587-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32239293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>da Costa, Marcos Devanir Silva</creatorcontrib><creatorcontrib>Nicacio, Jardel Mendonça</creatorcontrib><creatorcontrib>Dastoli, Patricia Alessandra</creatorcontrib><creatorcontrib>Suriano, Italo Capraro</creatorcontrib><creatorcontrib>Sarmento, Stéphanno Gomes Pereira</creatorcontrib><creatorcontrib>Barbosa, Mauricio Mendes</creatorcontrib><creatorcontrib>Moron, Antonio Fernandes</creatorcontrib><creatorcontrib>Cavalheiro, Sergio</creatorcontrib><title>Alterations in skull base anatomy in intrauterine and postnatal repaired myelomeningoceles</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Purpose
The aim of this study was to analyze the skull base anatomy of patients who underwent intrauterine or postnatal myelomeningocele repair and to determine its relationship with hydrocephalus.
Methods
This was a retrospective cross-sectional study that analyzed three groups: the postnatal group, 57 patients who underwent myelomeningocele repair up to 48 h after birth; the fetal group, 70 patients who underwent myelomeningocele repair between 19 and 27 weeks of gestation; and a control group (65). We compared the rate of hydrocephalus treatment, the clivus-supraocciput angle (CSA), and the Welcher angle.
Results
The mean CSA in the fetal group was 87.6°, and the postnatal group was significantly different at 78.3° (
p
< 0.0001). The control group (89.1°) was significantly different from the postnatal group but not from the fetal group. The mean Welcher angle was not significantly different between the groups. There was an 8.5% rate of surgical treatment for hydrocephalus in the fetal group, compared with 73.6% in the postnatal group.
Conclusions
The CSA in the fetal group was larger than that in the postnatal group, which may explain the decrease in the prevalence of hydrocephalus in the fetal group.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Original Article</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kL1OwzAURi0EoqXwAgwoI0vg2o5jZ6wq_qRKLLCwWG7iVC6OHexk6NvjksLIZOnecz99PghdY7jDAPw-AlCBcyCQQ8EEz8sTNMcFpTlQBqdoDoSVOYcCZugixh0AZoJU52hGCaEVqegcfSztoIMajHcxMy6Ln6O12UZFnSmnBt_tD1PjhqDGBBp3mDdZ7-OQ1spmQffKBN1k3V5b32ln3NbX2up4ic5aZaO-Or4L9P748LZ6ztevTy-r5TqvacGHvGmEUFQAxhXVdQGMslYRRrFoSiBYiNSZt21q3LQbaDluq6ZWtWKsxkUNFV2g2ym3D_5r1HGQnYmpgVVO-zFKQgXjIHgFCSUTWgcfY9Ct7IPpVNhLDPLgVE5OZXIqf5zKMh3dHPPHTaebv5NfiQmgExDTym11kDs_Bpf-_F_sN91Jgtg</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>da Costa, Marcos Devanir Silva</creator><creator>Nicacio, Jardel Mendonça</creator><creator>Dastoli, Patricia Alessandra</creator><creator>Suriano, Italo Capraro</creator><creator>Sarmento, Stéphanno Gomes Pereira</creator><creator>Barbosa, Mauricio Mendes</creator><creator>Moron, Antonio Fernandes</creator><creator>Cavalheiro, Sergio</creator><general>Springer Berlin Heidelberg</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3552-6347</orcidid></search><sort><creationdate>20201101</creationdate><title>Alterations in skull base anatomy in intrauterine and postnatal repaired myelomeningoceles</title><author>da Costa, Marcos Devanir Silva ; Nicacio, Jardel Mendonça ; Dastoli, Patricia Alessandra ; Suriano, Italo Capraro ; Sarmento, Stéphanno Gomes Pereira ; Barbosa, Mauricio Mendes ; Moron, Antonio Fernandes ; Cavalheiro, Sergio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-dd88a3801193ec40535fa25318d6021885827ff223dfb0f71f9dcaca55c14c093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Original Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>da Costa, Marcos Devanir Silva</creatorcontrib><creatorcontrib>Nicacio, Jardel Mendonça</creatorcontrib><creatorcontrib>Dastoli, Patricia Alessandra</creatorcontrib><creatorcontrib>Suriano, Italo Capraro</creatorcontrib><creatorcontrib>Sarmento, Stéphanno Gomes Pereira</creatorcontrib><creatorcontrib>Barbosa, Mauricio Mendes</creatorcontrib><creatorcontrib>Moron, Antonio Fernandes</creatorcontrib><creatorcontrib>Cavalheiro, Sergio</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>da Costa, Marcos Devanir Silva</au><au>Nicacio, Jardel Mendonça</au><au>Dastoli, Patricia Alessandra</au><au>Suriano, Italo Capraro</au><au>Sarmento, Stéphanno Gomes Pereira</au><au>Barbosa, Mauricio Mendes</au><au>Moron, Antonio Fernandes</au><au>Cavalheiro, Sergio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alterations in skull base anatomy in intrauterine and postnatal repaired myelomeningoceles</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>36</volume><issue>11</issue><spage>2757</spage><epage>2763</epage><pages>2757-2763</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Purpose
The aim of this study was to analyze the skull base anatomy of patients who underwent intrauterine or postnatal myelomeningocele repair and to determine its relationship with hydrocephalus.
Methods
This was a retrospective cross-sectional study that analyzed three groups: the postnatal group, 57 patients who underwent myelomeningocele repair up to 48 h after birth; the fetal group, 70 patients who underwent myelomeningocele repair between 19 and 27 weeks of gestation; and a control group (65). We compared the rate of hydrocephalus treatment, the clivus-supraocciput angle (CSA), and the Welcher angle.
Results
The mean CSA in the fetal group was 87.6°, and the postnatal group was significantly different at 78.3° (
p
< 0.0001). The control group (89.1°) was significantly different from the postnatal group but not from the fetal group. The mean Welcher angle was not significantly different between the groups. There was an 8.5% rate of surgical treatment for hydrocephalus in the fetal group, compared with 73.6% in the postnatal group.
Conclusions
The CSA in the fetal group was larger than that in the postnatal group, which may explain the decrease in the prevalence of hydrocephalus in the fetal group.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32239293</pmid><doi>10.1007/s00381-020-04587-6</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3552-6347</orcidid></addata></record> |
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| language | eng |
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| subjects | Medicine Medicine & Public Health Neurosciences Neurosurgery Original Article |
| title | Alterations in skull base anatomy in intrauterine and postnatal repaired myelomeningoceles |
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