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Amelioration of Chiari type 1 malformation and syringomyelia following posterior calvarial distraction in Crouzon’s syndrome—a case report

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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.

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References

  1. Thompson DNP, Harkness W, Jones BM, Hayward RD (1997) Aetiology of herniation of the hindbrain in craniosynostosis. Pediatr Neurosurg 26:288–295

    Article  CAS  PubMed  Google Scholar 

  2. 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

    Article  PubMed  Google Scholar 

  3. 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

    Article  PubMed  Google Scholar 

  4. Renier D, Lajeunie E, Arnaud E, Marchac D (2000) Management of craniosynostoses. Childs Nerv Syst 16:645–658

    Article  CAS  PubMed  Google Scholar 

  5. 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

    Article  CAS  PubMed  Google Scholar 

  6. 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

    Article  PubMed  Google Scholar 

  7. 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

    Article  CAS  PubMed  Google Scholar 

  8. 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

    Article  CAS  PubMed  Google Scholar 

  9. Richtsmeier JT (1987) Comparative study of normal, Crouzon and Apert craniofacial morphology using finite element scaling analysis. Am J Phys Anthropol 74:473–493

    Article  CAS  PubMed  Google Scholar 

  10. 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

    Article  CAS  PubMed  Google Scholar 

  11. 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

    Article  PubMed  Google Scholar 

  12. 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

    Article  PubMed  Google Scholar 

  13. 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

    PubMed  Google Scholar 

  14. 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

    PubMed  Google Scholar 

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Correspondence to Fateh Ahmad.

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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

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  • DOI: https://doi.org/10.1007/s00381-013-2202-9

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