脊髓脊膜膨出婴儿的颅骨陷窝畸形与脑积水：颅骨陷窝畸形是脑积水发展的预测指标吗？

Lacunar skull deformity and hydrocephalus in infants with myelomeningocele: is lacunar skull deformity a predictor of hydrocephalus development?

作者信息

Nakahara Kuniaki, Shimizu Satoru, Utsuki Satoshi, Suzuki Sachio, Oka Hidehiro, Fujii Kiyotaka

机构信息

Department of Neurosurgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 228-8555, Japan.

出版信息

Childs Nerv Syst. 2007 Aug;23(8):863-5. doi: 10.1007/s00381-007-0310-0. Epub 2007 Mar 16.

DOI:10.1007/s00381-007-0310-0

PMID:17364208

Abstract

OBJECTS

We evaluated whether the presence of lacunar skull deformity (LSD) with myelomeningocele is a predictive factor for subsequent hydrocephalus development.

MATERIALS AND METHODS

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.

RESULTS

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).

CONCLUSION

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.

摘要