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Increased Intracranial Pressure l: Introduction

Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
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Related Experiment Video

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Three-Dimensional Cephalometric Landmark Annotation Demonstration on Human Cone Beam Computed Tomography Scans
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Macrocephaly-capillary malformation syndrome: three new cases.

Inusha Panigrahi1, Mani Bhushan, Mukesh Yadav

  • 1Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-12, India. inupan@yahoo.com

Journal of the Neurological Sciences
|October 28, 2011
PubMed
Summary

Macrocephaly-Capillary Malformation (M-CM) is an overgrowth syndrome with distinct features like large head and capillary malformations. Early identification is crucial for managing associated complications and genetic counseling.

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Area of Science:

  • Genetics
  • Pediatrics
  • Dermatology

Background:

  • Overgrowth syndromes encompass a range of conditions characterized by excessive growth.
  • Macrocephaly-Capillary Malformation (M-CM) is a recently identified overgrowth syndrome with specific clinical manifestations.

Observation:

  • Three patients presenting with macrocephaly, capillary malformations, dysmorphic facial features, and neurocognitive deficits were evaluated.
  • Clinical findings included body and brain asymmetry, developmental delay, joint laxity, and syndactyly.

Findings:

  • The observed cases align with the diagnostic criteria for Macrocephaly-Capillary Malformation syndrome.
  • A unique presentation of bluish-white irises was noted in one patient, a feature not previously reported.

Implications:

  • Accurate diagnosis of M-CM is essential for appropriate patient surveillance and management of potential complications.
  • Refining diagnostic criteria, potentially including facial features as minor criteria, can aid in earlier identification.