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

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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.

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Authors and Affiliations

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

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

Authors
  1. Kuniaki Nakahara
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  2. Satoru Shimizu
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  3. Satoshi Utsuki
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  4. Sachio Suzuki
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  5. Hidehiro Oka
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  6. Kiyotaka Fujii
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Corresponding author

Correspondence to Kuniaki Nakahara.

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Nakahara, K., Shimizu, S., Utsuki, S. et al. Lacunar skull deformity and hydrocephalus in infants with myelomeningocele: is lacunar skull deformity a predictor of hydrocephalus development?. Childs Nerv Syst 23, 863–865 (2007). https://doi.org/10.1007/s00381-007-0310-0

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  • DOI: https://doi.org/10.1007/s00381-007-0310-0

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