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Basicranial changes in shunt-treated hydrocephalic children--a two-year report.

J A Huggare1, T J Kantomaa, O V Rönning

  • 1Department of Oral Development and Orthodontics, Institute of Dentistry, University of Oulu, Finland.

The Cleft Palate Journal
|July 1, 1988
PubMed
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Shunt-treated hydrocephalic boys aged 7-18 showed increased cranial base flexure over time. Their head posture was more forwardly flexed compared to controls, indicating potential long-term effects of hydrocephalus treatment.

Area of Science:

  • Pediatric Neurosurgery
  • Craniofacial Development
  • Hydrocephalus Research

Background:

  • Hydrocephalus is a condition characterized by excess cerebrospinal fluid in the brain.
  • Shunt placement is a common treatment for hydrocephalus, but can affect craniofacial development.
  • Long-term effects of shunt treatment on basicranial morphology and head posture are not fully understood.

Purpose of the Study:

  • To investigate basicranial changes in shunt-treated hydrocephalic individuals.
  • To assess the impact of shunt treatment on natural head position.
  • To compare craniofacial development and posture in shunt-treated subjects versus controls.

Main Methods:

  • Analysis of serial roentgenologic cephalograms in 29 shunt-treated hydrocephalics (aged 7-18 years) over approximately 2-year intervals.

Related Experiment Videos

  • Measurement of angular relationships between cranial base structures (sphenoidal, clival planes, nasion-sella-basion angle).
  • Recording of natural head position using craniovertical and cervicohorizontal angles in 24 subjects and comparison with controls.

    • Main Results:

    • Boys exhibited increased cranial base flexure during the follow-up period.
    • A decrease in the angle between sphenoidal/clival planes and nasion-sella-basion angle was observed.
    • Shunt-treated subjects displayed more forwardly flexed head posture than controls.

    Conclusions:

    • Shunt treatment in hydrocephalus is associated with progressive basicranial flexure in adolescent boys.
    • Altered cranial base angulation may influence head posture in shunt-treated individuals.
    • Further research is needed to understand the clinical implications of these craniofacial changes.