Selcuk University, Faculty of Medicine, Department of Neurosurgery, Konya, Turkey.
Turk Neurosurg. 2023;33(6):1053-1057. doi: 10.5137/1019-5149.JTN.42872-22.3.
To review the cases of craniosynostosis secondary to ventricular shunting procedure.
We retrospectively evaluated the medical records of all pediatric patients with hydrocephalus who were treated with ventriculoperitoneal shunt procedure between the years 2017 and 2021 at the Selcuk University, Ankara University, and Bursa Uludag University.
Twenty-one patients were included in the study. The median age at the time of insertion of ventriculoperitoneal shunt for hydrocephalus was 8.1 (range, 1?22) months. Seven patients were shunted because of congenital hydrocephalus. The mean time to development of secondary synostosis was 8.8 (range, 1?36) months. Plagiocephaly was the most common type of secondary synostosis. While shunt revision was performed in 16 patients, cranial vault expansion surgery was performed in 5 patients.
Slit ventricle syndrome is a frequent condition at shunted patients, but there is no consensus on identifying patients who require treatment. Using programmable or high-pressure valves, performing cranial vault modeling are possible treatment modalities. Increased awareness of this condition in follow-up may allow early diagnosis and intervention and prevent it from evolving into more serious deformities.
回顾脑室分流术后颅缝早闭的病例。
我们回顾性评估了 2017 年至 2021 年期间在开塞利大学、安卡拉大学和布尔萨乌鲁达大学接受脑室-腹腔分流术治疗的所有脑积水小儿患者的病历。
共有 21 例患者纳入研究。脑室-腹腔分流术治疗脑积水的中位年龄为 8.1 岁（范围，1?22 个月）。7 例患者因先天性脑积水行分流术。继发颅缝早闭的平均时间为 8.8 个月（范围，1?36 个月）。斜头畸形是最常见的继发颅缝早闭类型。16 例患者行分流管调整术，5 例行颅盖扩张术。
分流术后患者常出现狭颅症，但对于需要治疗的患者尚无共识。使用可编程或高压阀门、行颅盖成型术是可能的治疗方法。在随访中提高对这种情况的认识可能有助于早期诊断和干预，并防止其发展成更严重的畸形。
