Nakahara Kuniaki, Shimizu Satoru, Utsuki Satoshi, Suzuki Sachio, Oka Hidehiro, Fujii Kiyotaka
Department of Neurosurgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 228-8555, Japan.
Childs Nerv Syst. 2007 Aug;23(8):863-5. doi: 10.1007/s00381-007-0310-0. Epub 2007 Mar 16.
We evaluated whether the presence of lacunar skull deformity (LSD) with myelomeningocele is a predictive factor for subsequent hydrocephalus development.
We reviewed the clinical and radiological records of 18 infants with myelomeningocele, divided the patients into groups with (group A, n=9) and without (group B, n=9) ventriculomegaly at birth and assessed whether the presence of LSD was predictive of the necessity for ventriculoperitoneal shunt (VPS) placement.
LSD was present in five group A patients. All nine group A patients underwent VPS placement. Among the group B patients, five had LSD; they underwent VPS placement. A significantly higher proportion of those with ventricle enlargement or LSD at birth required VPS placement (p=0.0001).
Adding to the ventriculomegaly at birth, the presence of LSD alerts to the necessity to monitor these infants closely to determine the necessity for VPS placement.
我们评估了脊髓脊膜膨出合并腔隙性颅骨畸形（LSD）是否为后续脑积水发展的预测因素。
我们回顾了18例脊髓脊膜膨出婴儿的临床和放射学记录，将患者分为出生时伴有（A组，n = 9）和不伴有（B组，n = 9）脑室扩大的两组，并评估LSD的存在是否可预测脑室腹腔分流术（VPS）置入的必要性。
A组有5例患者存在LSD。A组的所有9例患者均接受了VPS置入。在B组患者中，有5例存在LSD；他们接受了VPS置入。出生时脑室扩大或存在LSD的患者中，需要进行VPS置入的比例显著更高（p = 0.0001）。
除了出生时的脑室扩大外，LSD的存在提示需要密切监测这些婴儿，以确定是否有必要进行VPS置入。
