Lessons from a case of osteopetrosis oxycephaly and Chiari type I malformation: a case report.

Cases J

University of Nottingham, Faculty of Medicine and Health Sciences, Medical School, Queen's Medical Centre, Nottingham NG7 2UH, UK.

Published: July 2009


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Article Abstract

We report a child with osteopetrosis, oxycephaly and Chiari type I malformation who presented with raised intracranial pressure. During cranial expansion surgery the patient developed sudden cardiac arrest which we believe was probably related to the Chiari malformation. The case highlights a previously unrecognized association between osteopetrosis, craniosynostosis and a persistently open fontanelle at age 4 years. In addition it supports the existing literature in emphasizing the need for careful preoperative work up, choice of approach and operative technique in children with complex craniosynostosis and Chiari malformation.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740010PMC
http://dx.doi.org/10.4076/1757-1626-2-6787DOI Listing

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We report a child with osteopetrosis, oxycephaly and Chiari type I malformation who presented with raised intracranial pressure. During cranial expansion surgery the patient developed sudden cardiac arrest which we believe was probably related to the Chiari malformation. The case highlights a previously unrecognized association between osteopetrosis, craniosynostosis and a persistently open fontanelle at age 4 years.

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