Skip to main content
SpringerLink
Log in

Upward vectors for osteogenic distraction treatment in secondary chronic intracranial hypertension in children undergoing scaphocephaly surgery: 2 cases reported

  • Case Report
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

The occurrence of secondary synostosis of coronal sutures at distance from H-craniectomy surgery for scaphocephaly concerns about 10% of children. Intracranial hypertension in these children remains exceptional but generally requires a surgical reoperation. Two children aged 3 and 5- months- old had been operated for scaphocephaly by H-craniectomy in two different hospital centers. Their clinical follow-up described a partial persistence of dolichocephalic deformity and an impression of parietal stenosis. During their growth, chronic headaches appeared with a complaint expressed at the ages of 4 and 5 years. In both cases, ophthalmic examination revealed significant bilateral papillary edema without loss of visual acuity. The imaging assessment (CT-scan and MRI) showed the absence of Chiari malformation and venous abnormality. For both, there was a compression image of the parietal lobes in relation to the persistence of a temporoparietal synostosis. An osteogenic parietal distraction permitted a volumetric brain expansion consecutive to the skull and meninges remodeling in only 6 months, associated with a leap forward acquisition, a normalization of the ophthalmic examination, and a complete loss of headaches. In conclusion, this new approach could be used in the case of chronic intracranial hypertension consecutive to a secondary parietal synostosis after a scaphocephaly surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Antúnez S, Arnaud E, Cruz A, Marchac D, Renier D (2009) Scaphocephaly: part I: indices for scaphocephalic frontal and occipital morphology evaluation: long-term results. J Craniofac Surg 20(2):1837–1842. https://doi.org/10.1097/SCS.0b013e3181b6c4ea

    Article  PubMed  Google Scholar 

  2. Arnaud E, Capon-Degardin N, Michienzi J, Di Rocco F, Renier D (2009) Scaphocephaly part II: sSecondary coronal synostosis after scaphocephalic surgical correction. J Craniofac Surg 20(2):1843–1850. https://doi.org/10.1097/SCS.0b013e3181b6c4c3

    Article  PubMed  Google Scholar 

  3. Kuang AA, Jenq T, Didier R, Moneta L, Bardo D, Selden NR (2013) Benign radiographic coronal synostosis after sagittal synostosis repair. J Craniofac Surg 24(3):937–940. https://doi.org/10.1097/SCS.0b013e31828dcf24

    Article  PubMed  Google Scholar 

  4. Cetas JS, Nasseri M, Saedi T, Kuang AA, Selden NR (2013) Delayed intracranial hypertension after cranial vault remodeling for nonsyndromic single-suture synostosis. J Neurosurg Pediatr 11(6):661–666. https://doi.org/10.3171/2013.3.PEDS12525

    Article  PubMed  Google Scholar 

  5. Lam S, Wagner KM, Middlebrook E, Luerssen TG (2015) Delayed intracranial hypertension after surgery for nonsyndromic craniosynostosis. Surg Neurol Int 6:187. https://doi.org/10.4103/2152-7806.172532

    Article  PubMed  PubMed Central  Google Scholar 

  6. Christian EA, Imahiyerobo TA, Nallapa S, Urata M, McComb JG, Krieger MD (2015) Intracranial hypertension after surgical correction for craniosynostosis: a systematic review. Neurosurg Focus 38(5):E6. https://doi.org/10.3171/2015.2.FOCUS14853

    Article  PubMed  Google Scholar 

  7. Thomas GP, Johnson D, Byren JC, Judge AD, Jayamohan J, Magdum SA, Richards PG, Wall SA (2015) The incidence of raised intracranial pressure in nonsyndromic sagittal craniosynostosis following primary surgery. J Neurosurg Pediatr 15(4):350–360. https://doi.org/10.3171/2014.11.PEDS1426

    Article  PubMed  Google Scholar 

  8. McMillan K, Lloyd M, Evans M, White N, Nishikawa H, Rodrigues D, Sharp M, Noons P, Solanki G, Dover S (2017) Experiences in performing posterior calvarial distraction. J Craniofac Surg 28(3):664–669. https://doi.org/10.1097/SCS.0000000000003458

    Article  PubMed  Google Scholar 

  9. Satanin L, Teterin I, Sakharov A, Roginsky V, Serlo W, Salokorpi N (2012) Experience with resorbable sonic pins for the attachment of distraction devices in posterior cranial vault distraction operations. Childs Nerv Syst 35(5):851–856. https://doi.org/10.1007/s00381-019-04097-0

    Article  Google Scholar 

  10. Wiberg A, Magdum S, Richards PG, Jayamohan J, Wall SA, Johnson D (2012) Posterior calvarial distraction in craniosynostosis - an evolving technique. J Craniomaxillofac Surg 40(8):799–806. https://doi.org/10.1016/j.jcms.2012.02.018

    Article  PubMed  Google Scholar 

  11. Massimi L, Di Rocco C (2012) Mini-invasive surgical technique for sagittal craniosynostosis. Childs Nerv Syst 9:1341–1345. https://doi.org/10.1007/s00381-012-1799-4

    Article  Google Scholar 

  12. Nowinski D, Di Rocco F, Renier D, SainteRose C, Leikola J, Arnaud E (2012) Posterior cranial vault expansion in the treatment of craniosynostosis. Comparison of current techniques. Childs Nerv Syst 28(9):1537–1544. https://doi.org/10.1007/s00381-012-1809-6

    Article  PubMed  Google Scholar 

  13. Simpson A, Wong AL, Bezuhly M (2017) Surgical cCorrection of nonsyndromic sagittal craniosynostosis: concepts and controversies. Ann Plast Surg 78(1):103–110. https://doi.org/10.1097/SAP.0000000000000713

    Article  CAS  PubMed  Google Scholar 

  14. Kyutoku S, Inagaki T (2017) Review of past reports and current concepts of surgical management for craniosynostosis. Neurol Med Chir (Tokyo) 57(5):217–224. https://doi.org/10.2176/nmc.ra.2017-0006

    Article  Google Scholar 

  15. Genitori L, Lang D, Philip N, Cavalheiro S, Lena G, Choux M (1992) Cranioectodermal dysplasia with sagittal craniosynostosis (Sensenbrenner’s syndrome): case report and review of the literature. Br J Neurosurg 6(6):601–606

    Article  CAS  Google Scholar 

  16. Denis D, Genitori L, Bolufer A, Lena G, Saracco JB, Choux M (1994) Refractive error and ocular motility in plagiocephaly. Childs Nerv Syst 10(4):210–216

    Article  CAS  Google Scholar 

  17. Genitori L, Zanon N, Denis D, Erdincler P, Achouri M, Lena G, Choux M (1994) The skull base in plagiocephaly. Childs Nerv Syst 10(4):217–223

    Article  CAS  Google Scholar 

  18. Denis D, Genitori L, Conrath J, Lena G, Choux M (1996) Ocular findings in children operated on for plagiocephaly and trigonocephaly. Childs Nerv Syst 12(11):683–689

    Article  CAS  Google Scholar 

  19. Schmidt BL, Kung L, Jones C, Casap N (2002) Induced osteogenesis by periosteal distraction. J Oral Maxillofac Surg 60(10):1170–1175

    Article  Google Scholar 

  20. Zhao D, Wang Y, Han D (2016) Periosteal distraction osteogenesis: an effective method for bone regeneration. Biomed Res Int 2016:2075317. https://doi.org/10.1155/2016/2075317

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Delashaw JB, Persing JA, Jane JA (1991) Cranial deformation in craniosynostosis. A new explanation. Neurosurg Clin N Am 2(3):611–620

    Article  CAS  Google Scholar 

  22. Opperman LA (2000) Cranial sutures as intramembranous bone growth sites. Dev Dyn 219(4):472–485. https://doi.org/10.1002/1097-0177(2000)9999:9999<::AID-DVDY1073>3.0.CO;2-F

    Article  CAS  PubMed  Google Scholar 

  23. Kuang A, Selden NR (2015) Secondary cranial vault remodeling for restenosis after primary sagittal synostosis repair. Pediatr Neurosurg 50(2):104–108. https://doi.org/10.1159/000380768

    Article  PubMed  Google Scholar 

  24. McMillan K, Lloyd M, Evans M, White N, Nishikawa H, Rodrigues D, Sharp M, Noons P, Solanki G, Dover S (2017) Experiences in performing posterior calvarial distraction. J Craniofac Surg 28(3):664–669. https://doi.org/10.1097/SCS.0000000000003458

    Article  PubMed  Google Scholar 

  25. Esparza J, Hinojosa J, García-Recuero I, Romance A, Pascual B, Martínez de Aragón A (2008) Surgical treatment of isolated and syndromic craniosynostosis. Results and complications in 283 consecutive cases. Neurochirurgia (Astur) 19(6):509–529

    CAS  Google Scholar 

Download references

Acknowledgements

We are grateful to co-authors for the rereading of the article.

Author information

Author notes

  1. G Pech Gourg and N Serratrice contributed equally to this work.

Authors and Affiliations

  1. Department of Pediatric Neurosurgery, La Timone Enfant Hospital, Assistance Publique - Hôpitaux de Marseille, Marseille, France

    G. Pech Gourg, N. Serratrice & D. Scavarda

  2. Department of Maxillofacial Surgery, La Timone Enfant Hospital, Assistance Publique - Hôpitaux de Marseille, Marseille, France

    A. Gallucci

Authors
  1. G. Pech Gourg
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Serratrice
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Gallucci
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. Scavarda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to N. Serratrice.

Ethics declarations

Conflict of interest

The authors have nothing to disclose.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pech Gourg, G., Serratrice, N., Gallucci, A. et al. Upward vectors for osteogenic distraction treatment in secondary chronic intracranial hypertension in children undergoing scaphocephaly surgery: 2 cases reported. Childs Nerv Syst 36, 1325–1330 (2020). https://doi.org/10.1007/s00381-019-04491-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-019-04491-8

Keywords

Search

Navigation