Abstract
Multisutural craniosynostosis as seen in Crouzon’s syndrome can result in raised intracranial pressure, Chiari malformation (CM) and syringomyelia. Posterior calvarial distraction (PD) is a technique for addressing cranio-cephalic disproportion, and this case report describes the reversal of both CM and syrinx in a 6-year-old child who underwent PD initially for raise intracranial pressure.
Similar content being viewed by others
References
Thompson DNP, Harkness W, Jones BM, Hayward RD (1997) Aetiology of herniation of the hindbrain in craniosynostosis. Pediatr Neurosurg 26:288–295
Novegno F, Caldarelli M, Massa A, Chieffo D, Massimi L, Pettorini B, Tamburrini G, Di Rocco C (2008) The natural history of the Chiari type I anomaly. J Neurosurg Pediatr 2:179–187
Strahle J, Muraszko KM, Kapurch J, Bapuraj JR, Garton HJ, Maher CO (2011) Natural history of Chiari malformation type I following decision for conservative treatment. J Neurosurg Pediatr 8:214–221
Renier D, Lajeunie E, Arnaud E, Marchac D (2000) Management of craniosynostoses. Childs Nerv Syst 16:645–658
Cinalli G, Chumas P, Arnaud E, Sainte-Rose C, Renier D (1998) Occipital remodeling and suboccipital decompression in severe craniosynostosis associated with tonsillar herniation. Neurosurgery 42:66–73
Attenello F, McGirt M, Gathanji M, Datoo G, Atiba A, Weingart J, Carson B, Jallo G (2008) Outcome of Chiari-associated syringomyelia after hindbrain decompression in children: analysis of 49 consecutive cases. Neurosurgery 62:1307–1313
Zhang Y, Zhang N, Qiu H, Zhou J, Li P, Ren M, Shen G, Chen L, Zhou C, Yang D, Liu Y, Mao Y, Gu X, Zhao Y (2011) An efficacy analysis of posterior fossa decompression techniques in the treatment of Chiari malformation with associated syringomyelia. J Clin Neurosci 18:1346–1349
Kreiborg S, Marsh JL, Cohen MM Jr, Liversage M, Pedersen H, Skovby F, Borgesen SE, Vannier MW (1993) Comparative three-dimensional analysis of CT-scans of the calvaria and cranial base in Apert and Crouzon syndromes. J Craniomaxillofac Surg 21:181–188
Richtsmeier JT (1987) Comparative study of normal, Crouzon and Apert craniofacial morphology using finite element scaling analysis. Am J Phys Anthropol 74:473–493
Heiss JD, Patronas N, DeVroom HL, Shawker T, Ennis R, Kammerer EA, Talbot T, Morris J, Eskioglu E, Oldfield E (1999) Elucidating the pathophysiology of syringomyelia. J Neurosurg 91:553–562
Rocque BG, George TM, Kestle J, Iskandar BJ (2011) Treatment practices for Chiari malformation type I with syringomyelia: results of a survey of the American Society of Pediatric Neurosurgeons. J Neurosurg Pediatr 8:430–7
White N, Evans M, Dover MS, Noons P, Solanki G, Nishikawa H (2009) Posterior calvarial vault expansion using distraction osteogenesis. Childs Nerv Syst 25:231–236
Al-Otibi M, Jea A, Kulkarni AV (2007) Detection of important venous collaterals by computed tomography venogram in multisutural synostosis. Case report and review of the literature. J Neurosurg 107:508–510
Sandberg DI, Navarro R, Blanch J, Ragheb J (2007) Anomalous venous drainage preventing safe posterior fossa decompression in patients with Chiari malformation type I and multisutural craniosynostosis. Report of two cases and review of the literature. J Neurosurg 106:490–494
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ahmad, F., Evans, M., White, N. et al. Amelioration of Chiari type 1 malformation and syringomyelia following posterior calvarial distraction in Crouzon’s syndrome—a case report. Childs Nerv Syst 30, 177–179 (2014). https://doi.org/10.1007/s00381-013-2202-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-013-2202-9