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HYDROCEPHALUS AND CRANIOSYNOSTOSIS IN PAEDIATRICS: COEXISTENCE OF TWO PHENOMENA
Khrisna Rangga Permana1, Muhammad Arifin Parenrengi1, Wihasto Suryaningtyas1
1Neurosurgery Department, Faculty of Medicine Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya-Indonesia.
Insights
Managing hydrocephalus in craniosynostosis patients requires prompt evaluation. Early cerebrospinal fluid (CSF) diversion is crucial for favorable outcomes in these complex pediatric neurosurgical cases.
Area of Science:
- Pediatric Neurosurgery
- Craniofacial Surgery
- Neurology
Background:
- Craniosynostosis, a condition of premature skull fusion, can be associated with hydrocephalus.
- Managing these co-occurring conditions presents unique clinical challenges.
Purpose of the Study:
- To describe institutional experience in managing pediatric patients with both hydrocephalus and craniosynostosis.
- To review pre-operative and post-operative data for these patients.
Main Methods:
- Retrospective review of four patients with craniosynostosis and hydrocephalus.
- Analysis of demographic, clinical, radiological, and surgical data.
- Evaluation of post-operative complications.
Main Results:
- Four patients underwent cerebrospinal fluid (CSF) diversion procedures.
- All patients survived the procedures, with three operated on within the first year of life.
- No major post-operative complications such as sepsis, reoperation, or death were reported.
Conclusions:
- The exact mechanism linking hydrocephalus and craniosynostosis remains unclear.
- Hydrocephalus should be suspected in all craniosynostosis cases, necessitating further investigation (e.g., CT scan).
- CSF diversion is indicated for progressive ventriculomegaly.
Background:
Here, the authors describe their institutional experience managing patients who had hydrocephalus and craniosynostosis regarding their pre-operative and post-operative data.
Methods:
The study was conducted in the Neurosurgery Department, Dr. Soetomo Academic General Hospital, Surabaya, Indonesia. Four patients with craniosynostosis had hydrocephalus based on our database and all of those four cases were reviewed. The authors retrospectively reviewed the patient's demography, clinical findings, radiology results, operative procedures, and complications after surgery.
Results:
Four patients underwent the cerebrospinal fluid (CSF) procedure and survived the procedure. Three patients were operated at the first 1 year of age and one patient at 2 years old. There were no major complications (sepsis, reoperation, death) postoperatively.
Conclusions:
The mechanism of the hydrocephalus in craniosynostosis was not fully elucidated. Suspicion of hydrocephalus should be anticipated in every case of craniosynostosis and further examination such as a CT scan was necessary. In the setting of progressive ventriculomegaly, a CSF diversion should be performed.
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