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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. 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://dx.doi.org/10.4076/1757-1626-2-6787 | DOI Listing |
Neurochirurgie
November 2019
Endocrinologie et diabète de l'enfant, filière OSCAR et plateforme d'expertise Paris Sud maladies rares, centre de référence des maladies rares du calcium et du phosphate, hôpital Bicêtre Paris Sud, AP-HP, 94270 Le Kremlin Bicêtre, France; Service de radiologie pédiatrique, université Paris
Introduction: Some metabolic bone disorders may result in the premature closure of one or more calvarial sutures during childhood, potentially leading to a cranioencephalic disproportion. The aim of this paper is to review the characteristics and consequences of craniosynostosis associated with metabolic disorder.
Material And Methods: A review of the literature on metabolic forms of craniosynostosis was performed.
Childs Nerv Syst
December 2017
Departement of Neuro-ophtalmology, Lille University Hospital, Lille, France.
Purpose: Osteopetrosis (OP) is a rare skeletal disease, which can affect the skull base and calvaria. A multidisciplinary approach is mandatory and patient may need neurosurgical care. Few observations have been published, and optimal management of OP is not established yet.
View Article and Find Full Text PDFCases J
July 2009
University of Nottingham, Faculty of Medicine and Health Sciences, Medical School, Queen's Medical Centre, Nottingham NG7 2UH, UK.
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.
View Article and Find Full Text PDFPediatr Neurosurg
May 2007
Department of Neurosurgery, The University of Colorado Health Sciences Center and The Children's Hospital, Denver, USA.
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.
J Craniofac Surg
March 2004
Departments of Oral and Maxillofacial Plastic Surgery, University Hospital Tübingen, Germany.
In osteopetrosis, bone healing is complicated by progressive sclerosis. A 2-year-old blind boy with malignant osteopetrosis developed increased intracranial pressure secondary to craniosynostosis. Osteopetrosis had already been treated with bone marrow transplantation (BMT), and bone remodeling seemed to be restored.
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