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Spring mediated cranial vault expansion in infants : an alternative treatment for symptomatic multisutural craniosynostosis associated Chiari malformation type I

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Detalhes bibliográficos
Resumo:Chiari malformation type 1 is a frequent finding in patients with craniosynostosis. The performance of suboccipital decompression as a standard treatment has been progressively questioned. Two symptomatic patients presenting multiple suture craniosynostosis associated Chiari malformation type 1 underwent cranial vault expansion using spring-mediated distraction at an early age (at 2 and 6 weeks). A complete resolution of Chiari symptoms was observed postoperatively and the postoperative cervical spine magnetic resonance imaging showed adequate decompression of the craniocervical junction. Spring mediated distraction at an early age may be an efficient solution to address symptomatic multisutural craniosynostosis associated Chiari malformation type 1.
Autores principais:Jesus, Ana Rita Patrocínio de
Assunto:Malformação de Arnold-Chiari Craniossinostoses
Ano:2015
País:Portugal
Tipo de documento:dissertação de mestrado
Tipo de acesso:acesso restrito
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
Descrição
Resumo:Chiari malformation type 1 is a frequent finding in patients with craniosynostosis. The performance of suboccipital decompression as a standard treatment has been progressively questioned. Two symptomatic patients presenting multiple suture craniosynostosis associated Chiari malformation type 1 underwent cranial vault expansion using spring-mediated distraction at an early age (at 2 and 6 weeks). A complete resolution of Chiari symptoms was observed postoperatively and the postoperative cervical spine magnetic resonance imaging showed adequate decompression of the craniocervical junction. Spring mediated distraction at an early age may be an efficient solution to address symptomatic multisutural craniosynostosis associated Chiari malformation type 1.