Publications by authors named "Alain Czorny"

Introduction: Unilateral coronal synostosis (UCS) is a complex craniosynostosis, combining malformations of the upper (frontal bone, orbito-naso-frontal bandeau (ONFB) ) and the middle thirds of the face. In our centre, the surgical correction consists in the repositioning of the ONFB in front of the zygomaticofrontal suture on the affected side. Defects in the corrections have been observed post-operatively for some patients with a persistent asymmetry in the side walls of the orbits.

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Article Synopsis
  • Anaplastic gangliogliomas (GGGs) are rare brain tumors with unclear progression patterns; this study examined their clinical, imaging, and prognostic features in a group of 43 adult patients from a French database over a ten-year period.* -
  • Patients commonly presented with neurological deficits, seizures, or increased intracranial pressure, and imaging typically showed unifocal tumors with features like enhancement and necrosis; treatment often involved surgery followed by radiotherapy.* -
  • The study found that while the overall survival rates are slightly better than glioblastomas, tumor characteristics such as midline crossing and location can impact survival; however, no factors remained significant in advanced statistical analysis.*
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Introduction: Craniosynostoses affecting the forehead sutures can not only cause brain damage, but can also have an esthetic impact, because of the associated orbito-naso-frontal deformations. Reshaping the orbito-naso-frontal bandeau (ONFB) is difficult to appreciate perioperatively and should ideally be customized to each child. The aim of this study was to develop a template to guide the surgeon preoperatively towards an ideal customized remodelling of the ONFB.

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Heterozygous mutations in TCF12 were recently identified as an important cause of craniosynostosis. In the original series, 14% of patients with a mutation in TCF12 had significant developmental delay or learning disability. We report on the first case of TCF12 microdeletion, detected by array-comparative genomic hybridization, in a 72-year-old patient presenting with intellectual deficiency and dysmorphism.

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Introduction: When a child walks in the clinic with a unilateral frontal flattening, it is usually associated in our minds with unilateral coronal synostosis. While the latter might be the most common cause of anterior plagiocephaly, it is not the only one. A patent coronal suture will force us to consider other etiologies, such as deformational plagiocephaly, or synostosis of another suture.

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