Access the full text.
Sign up today, get DeepDyve free for 14 days.
W. Taylor, R. Hayward, P. Lasjaunias, J. Britto, D. Thompson, B. Jones, R. Evans (2001)
Enigma of raised intracranial pressure in patients with complex craniosynostosis: the role of abnormal intracranial venous drainage.Journal of neurosurgery, 94 3
D. Jeevan, Phillip Anlsow, J. Jayamohan (2008)
Abnormal venous drainage in syndromic craniosynostosis and the role of CT venographyChild's Nervous System, 24
D. Sandberg, R. Navarro, J. Blanch, J. Ragheb (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.Journal of neurosurgery, 106 6 Suppl
J. Goodrich (2004)
Craniofacial surgery: complications and their prevention.Seminars in pediatric neurology, 11 4
Dominic Thompson, Richard Hayward, W. Harkness, Robert Bingham, Barry Jones (1995)
Lessons from a case of kleeblattschädel. Case report.Journal of neurosurgery, 82 6
C. Forrest, R. Hopper (2013)
Craniofacial Syndromes and SurgeryPlastic and Reconstructive Surgery, 131
Merdas Al-Otibi, A. Jea, A. Kulkarni (2007)
Detection of important venous collaterals by computed tomography venogram in multisutural synostosis. Case report and review of the literature.Journal of neurosurgery, 107 6 Suppl
Caroline Robson, J. Mulliken, Richard Robertson, Mark Proctor, Daniela Steinberger, Patrick Barnes, Alicia McFarren, Ulrich Müller, David Zurakowski (2000)
Prominent basal emissary foramina in syndromic craniosynostosis: correlation with phenotypic and molecular diagnoses.AJNR. American journal of neuroradiology, 21 9
E. Oliveira, A. Rhoton, D. Peace (1985)
Microsurgical anatomy of the region of the foramen magnum.Surgical neurology, 24 3
N. Rollins, T. Booth, K. Shapiro (2000)
MR Venography in Children with Complex CraniosynostosisPediatric Neurosurgery, 32
D. Martínez-Pérez, Douglas Woude, P. Barnes, M. Scott, J. Mulliken (1996)
Jugular foraminal stenosis in Crouzon syndrome.Pediatric neurosurgery, 25 5
Background: The pattern of cranial venous drainage in syndromic craniosynostosis is unpredictable and not adequately understood. Collateral channels substitute for stenotic venous sinuses and pose potential risk for surgical intervention. The purpose of this study was to analyze the patterns of venous drainage in patients with syndromic craniosynostosis and their influence on operative planning and morbidity. Methods: A retrospective study of patients with syndromic craniosynostosis from 2000 to 2013 was performed. Demographic data were collected including phenotype and associated pathologies. Pre- and/or postoperative venous imaging was reviewed for venous sinus stenosis, collateral emissaries, and persistent fetal sinuses. Categorization of anomalous venous drainage was performed, and the relationship with surgical morbidity was assessed. Results: Forty-one patients were identified. Anomalies were present in 31 patients (76%) consisting of dural sinus stenosis in 28 (68%), dilated emissaries in 26 (63%), and fetal sinuses in 7 (17%). Pfeiffer syndrome was most commonly associated with anomalous drainage (100%). Venous anomalies were associated with elevated intracranial pressure (ICP), shunted hydrocephalus, Chiari malformations, and sleep apnea. In 5 cases, the surgical plan was adjusted based on anomalous anatomy. No mortalities occurred. Intraoperative complication rate was 7.3%, all with anomalous drainage. Median estimated blood loss was 1,100 cc for patients with anomalies versus 400 cc without anomalies (P = 0.181). Conclusion: Cranial venous anomalies are commonly detected in patients with syndromic craniosynostosis and may affect surgical morbidity and outcome with a higher estimated blood loss, alteration of procedure, and postoperative morbidity. Detailed preoperative imaging of the venous drainage is therefore recommended in cases of syndromic synostosis.
Plastic & Reconstructive Surgery Global Open – Wolters Kluwer Health
Published: Jan 1, 2018
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.