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Conceptos modernos de los trastornos del LCR en la craneosinostosis monosutural
Paolo Frassanito1, Marco Galeazzi2, Gianpiero Tamburrini3
1Pediatric Neurosurgery - Neurosurgery Department, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Neuro-Chirurgie
|January 14, 2026
Resumen
Los trastornos del líquido cefalorraquídeo (LCR), como la dilatación del espacio subaracnoideo, son comunes en la craneosinostosis de sutura única (CS). Estos a menudo se resuelven después de la cirugía, pero los quistes aracnoideos pueden empeorar, lo que requiere un estudio adicional.
Área de la Ciencia:
- Neurociencia
- Cirugía Pediátrica
- Cirugía Craneofacial
Sus antecedentes:
- La craneosinostosis monosutural (CS) puede asociarse con trastornos del líquido cefalorraquídeo (LCR), incluidos hallazgos sutiles como la dilatación del espacio subaracnoideo.
- Las causas exactas y los efectos a largo plazo de estos trastornos del LCR en pacientes con CS siguen sin estar claros.
Objetivo del estudio:
- Revisar la literatura sobre los trastornos del LCR en la CS monosutural.
- Discutir su patogénesis, el impacto de las intervenciones quirúrgicas y su significado pronóstico.
Principales métodos:
- Se realizó una revisión exhaustiva de la literatura.
- Se analizaron las teorías patogénicas, las implicaciones de la estrategia quirúrgica y el significado pronóstico.
Principales resultados:
- La dilatación focal y general del espacio subaracnoideo son los trastornos del LCR más frecuentes en la CS monosutural, mejorando a menudo postoperatoriamente.
- Los quistes aracnoideos están relacionados con la trigonocefalia y pueden aumentar después de la avance fronto-orbital.
- La hidrocefalia manifiesta generalmente no está relacionada con la CS monosutural.
Conclusiones:
- Se necesita más investigación para dilucidar la patogénesis de los trastornos del LCR en la CS monosutural.
- Es importante evaluar el riesgo de aumento de la presión intracraneal en la CS no tratada.
- El momento óptimo y las estrategias quirúrgicas para el manejo de estas afecciones requieren una cuidadosa consideración.
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