Abstract
Background and aims
Craniosynostosis occurs in 300–500 per 1,000,000 live births and results in secondary craniofacial, ocular, and intracranial anomalies. Neurologic problems associated with craniosynostosis include changes in intracranial morphology such as dilation of the cerebral ventricles, however, clinical studies are confounded by small sample sizes, heterogenous samples, and lack of age-matched controls. The present study was designed to assess age-related changes in the lateral ventricle volume of the brain in normal rabbits and rabbits with naturally-occurring coronal suture synostosis using serial magnetic resonance imaging.
Methods
Eighteen rabbits (6 wild-type controls, 6 with early-onset [∼21 days gestation], and 6 with delayed-onset [∼25 days post-gestation] coronal suture synostosis) had magnetic resonance imaging (MRI) at 10, 25, and 42 days of age.
Results
The results demonstrate that rabbits with early-onset synostosis had significantly (p<0.001) dilated and larger lateral ventricles (by 77% at 10 days of age) than wild-type and delayed-onset synostosis rabbits, which progressively worsened by day 42.
Conclusion
This finding suggests that uncorrected coronal suture synostosis may have early effects on lateral ventricle volume hypertrophy, possibly through obstructed cerebrospinal fluid and/or venous drainage and circulation.
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Acknowledgements
Support for this study came from grants from the Children’s Hospital of Pittsburgh and NIH/NIDCR (DE13078) to the Center for Craniofacial Development and Disorders, Johns Hopkins University, Baltimore, MD. The Pittsburgh NMR Center for Biomedical Research is supported by a grant from the National Institute of Health (P41EB001977).
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This study was approved by the University of Pittsburgh Institutional Animal Care and Use Committee
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Fellows-Mayle, W., Hitchens, T.K., Simplaceanu, E. et al. Age-related changes in lateral ventricle morphology in craniosynostotic rabbits using magnetic resonance imaging. Childs Nerv Syst 21, 385–391 (2005). https://doi.org/10.1007/s00381-004-1107-z
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DOI: https://doi.org/10.1007/s00381-004-1107-z