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Updated: Jun 14, 2026
Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Internal carotid dissection after Le Fort III distraction in Apert syndrome: a case report
Erik Nout1, Irene M J Mathijssen, Jacques J N M van der Meulen
1Department of Oral and Maxillofacial Surgery, Erasmus MC, Rotterdam, The Netherlands.
Abstract:
A 10-year-old girl with Apert syndrome underwent a Le Fort III osteotomy with the positioning of internal and external distraction devices. The operation was straightforward with no intraoperative complications. Very soon after completion of surgery an anisocoria (unilateral dilation of a pupil) was noticed. This was followed by intracranial oedema which was fatal. The aetiology was dissection of the right internal carotid artery is reported. The complications of Le Fort osteotomies are discussed regarding patients with complex syndromal craniosynostosis and midface hypoplasia, such as Apert syndrome.
