Expansion cranioplasty with jackscrew distracters for craniosynostosis and intracranial hypertension in transplanted osteopetrosis.

Abstract:

BACKGROUND:An 11-month-old boy with autosomal recessive infantile osteopetrosis presented, 7 months after bone marrow transplantation, with normal ventricular size and life-threatening intracranial hypertension due to pansynostosis. METHODS:The cranial vault was expanded by using jackscrew distracters to upwardly advance the upper part of the calvarium. RESULTS:The procedure achieved a 15-mm upward expansion of the cranial vault over a 15-day period, and the volume of the cranial vault was increased by 139 ml. All clinical manifestations of intracranial hypertension resolved. CONCLUSION:Cranial vault expansion with jackscrew distracters was successful in relieving intracranial hypertension in an infant with pancraniosynostosis complicating bone marrow transplanted malignant infantile osteopetrosis.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Dowlati D,Winston KR,Ketch LL,Quinones R,Giller R,Frattini A,van Hove J

doi

10.1159/000098381

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

102-6

issue

2

eissn

1016-2291

issn

1423-0305

pii

000098381

journal_volume

43

pub_type

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