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Related Experiment Videos

The false fontanel.

R E Harbaugh, R L Saunders

    Journal of Neurosurgery
    |July 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    A novel surgical technique creates a "false fontanel" in infants and children, allowing for non-invasive monitoring of intracranial pressure and shunt function. This method offers a reliable alternative when the natural fontanel closes, aiding in the management of hydrocephalus.

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    Area of Science:

    • Neurosurgery
    • Pediatric Surgery
    • Medical Devices

    Background:

    • Assessing intracranial pressure (ICP) in neonates typically relies on palpating the anterior fontanel.
    • Fontanel closure in infants and children necessitates alternative methods for ICP estimation.
    • Hydrocephalus management often requires monitoring shunt function.

    Observation:

    • A surgical procedure created a 2-cm craniectomy in the right parietal region, forming a
    • false fontanel
    • .

    Findings:

    • The created cranial opening allows for palpation and real-time ultrasound imaging of the brain.
    • Excision of the internal pericranium delays reossification for over 12 months.
    • Sparing the dura propria minimizes risks of cerebrospinal fluid leak or brain herniation.

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    Implications:

    • This technique provides a simple, reliable method for estimating ICP in shunted pediatric patients.
    • The
    • false fontanel
    • ] aids in assessing shunt function in hydrocephalic infants and children.
    • This approach enhances non-invasive neurological assessment in pediatric neurosurgery.