Inagaki Takayuki, Kyutoku Shigeo, Seno Takatoshi, Kawaguchi Takuya, Yamahara Takashi, Oshige Hideyuki, Yamanouchi Yasuo, Kawamoto Keiji
Department of Neurosurgery, Kansai Medical University, 10-15 Fumizono, Moriguchi, Osaka, Japan.
Childs Nerv Syst. 2007 Dec;23(12):1455-9. doi: 10.1007/s00381-007-0436-0. Epub 2007 Aug 7.
While raised intracranial pressure (ICP) is a well recognized complication affecting children with syndromic craniosynostosis, certain percentage of the patients with non-syndromic craniosynostosis may have some problems related to increased ICP, such as developmental delay or visual problem. However, it is still not clear how many percent of and/or which types of craniosynostosis patients suffer from those symptoms, especially in older patients.
The aim of this study was to examine the ICP of older children with mild form of craniosynostosis to determine if any of them should be surgically treated.
We measured ICP before making the decision for surgical intervention.
Twenty-five of thirty-six patients had raised ICP in our series.
All of the 25 patients were treated surgically and followed-up after more than 1 year. All patients improved in some degree. Further investigations should be performed to determine what is the threshold for raised ICP in children.
虽然颅内压升高(ICP)是影响综合征性颅缝早闭患儿的一种公认并发症,但一定比例的非综合征性颅缝早闭患者可能会出现一些与ICP升高相关的问题,如发育迟缓或视觉问题。然而,仍不清楚有多少比例的颅缝早闭患者以及哪些类型的颅缝早闭患者会出现这些症状,尤其是年龄较大的患者。
本研究的目的是检查轻度颅缝早闭大龄儿童的ICP,以确定他们中是否有需要手术治疗的患者。
在决定进行手术干预前,我们测量了ICP。
在我们的系列研究中,36例患者中有25例ICP升高。
所有25例患者均接受了手术治疗,并进行了1年以上的随访。所有患者均有不同程度的改善。应进行进一步研究以确定儿童ICP升高的阈值。