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A random Abstract
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Management of cranial deformity following ventricular shunting.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Ventricular
shunt-induced
craniosynostosis
is
a
widely
recognised
cause
of
secondary
craniosynostosis
.
We
reviewed
the
management
and
long
-term
outcome
of
the
cases
of
cranial
deformity
post
cerebrospinal
fluid
shunting
in
our
unit
and
compared
these
with
previously
published
series
.
The
Australian
Craniofacial
Unit
and
Department
of
Neurosurgery
database
was
searched
to
identify
cases
of
ventricular
shunt-induced
cranial
deformity
and
a
case
note
review
was
undertaken
.
Eight
cases
were
identified
,
and
all
were
shunted
within
6
months
of
birth
.
Our
patients
required
shunting
with
a
low
pressure
valve
for
hydrocephalus
secondary
to
either
aqueduct
stenosis
or
intraventricular
haemorrhage
.
The
diagnosis
was
made
following
computed
tomography
(
CT
)
three
-dimensional
surface
reconstruction
of
the
skull
.
Two
cases
of
confirmed
suture
fusion
were
treated
with
cranial
vault
remodelling
and
programmable
shunt
insertion
.
In
six
cases
,
the
sutures
were
not
completely
fused
on
the
CT
images
despite
a
scaphocephalic
head
shape
.
These
patients
were
managed
conservatively
with
close
monitoring
.
Cranial
vault
remodelling
together
with
insertion
of
programmable
shunt
valve
is
indicated
in
CT
confirmed
cases
of
secondary
craniosynostosis
.
