Bhadkamkar Mohin A, Albright Steven B, Wolfswinkel Erik M, Bollo Robert, Buchanan Edward P
From the Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.
J Craniofac Surg. 2015 Jan;26(1):e70-2. doi: 10.1097/SCS.0000000000001319.
Cerebrospinal fluid shunt placement is the most common surgical intervention for hydrocephalus. In rare cases, cerebrospinal fluid shunting has been associated with the development of secondary craniosynostosis. Posterior cranial vault distraction osteogenesis is an emerging technique used for the treatment of craniosynostosis. Posterior vault distraction allows greater intracranial volume expansion than do techniques that address the anterior cranium. We present a patient with shunt-induced multisuture craniosynostosis with delayed presentation. She was effectively treated with posterior cranial vault distraction and preservation of her ventriculoperitoneal shunt. This unique case demonstrates the safety and utility of this procedure for complex craniocerebral disproportion.
脑脊液分流术是治疗脑积水最常见的外科手术。在罕见情况下，脑脊液分流与继发性颅缝早闭的发生有关。后颅穹窿牵张成骨术是一种用于治疗颅缝早闭的新兴技术。与处理前颅的技术相比，后颅穹窿牵张能实现更大的颅内容积扩张。我们报告一例出现延迟表现的分流诱导性多缝颅缝早闭患者。她通过后颅穹窿牵张及保留脑室腹腔分流管得到了有效治疗。这一独特病例证明了该手术对于复杂颅脑比例失调的安全性和实用性。
