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Long-term sequelae of normocephalic pansynostosis: a rare but insidious entity.
Childs Nerv Syst
July 2024
Division of Neurosurgery, Children's Hospital of Philadelphia, Pennsylvania, PA, USA.
Objective: Patients with normocephalic pansynostosis, who have a grossly normal head shape, are often overlooked early in life and present late with elevated intracranial pressure (ICP) requiring timely cranial vault expansion. This study evaluates the long-term clinical outcomes of patients with normocephalic pansynostosis.
Methods: We retrospectively reviewed patients with a clinical and radiographic diagnosis of primary pansynostosis who underwent vault reconstruction between 2000 and 2023.
Autologous fibrin sealant (Vivostat(®)) in the neurosurgical practice: Part I: Intracranial surgical procedure.
Surg Neurol Int
May 2015
Department of Experimental Biomedicine and Clinical Neurosciences, Neurosurgical Clinic, University of Palermo, Italy.
Background: Hemorrhages, cerebrospinal fluid (CSF) fistula and infections are the most challenging postoperative complications in Neurosurgery. In this study, we report our preliminary results using a fully autologous fibrin sealant agent, the Vivostat(®) system, in achieving hemostasis and CSF leakage repair during cranio-cerebral procedures.
Methods: From January 2012 to March 2014, 77 patients were studied prospectively and data were collected and analyzed.
Peculiarities of clinical course and approaches to surgical treatment were studied in patients, suffering isolated cranio-cerebral trauma (CCT); new approaches were elaborated, permitting to improve outcome of epidural hematoma (EG) in surgical treatment of the patients. For isolated CCT 188 patients there were operated on, EG was revealed in 83 (44.1%) of them.
View Article and Find Full Text PDF[Psychological consequences of moderate to severe cranio-cerebral injuries: dysexecutive syndrome. Preliminary report].
Przegl Lek
May 2003
Klinika Psychiatrii Collegium Medicum Uniwersytetu Jagielloskiego w Krakowie.
The late sequel of cranio-cerebral trauma are common causes of decreased mental capability and pathology localized in frontal lobes which can cause the dysexecutive syndrome (the individual has a goal but has difficulty in generating or activating the appropriate goal directed behavior). We analysed 58 patients, random-chosen, treated in the Neurotraumatology Department in Kraków after craniocerebral injury. Among them, 6 patients were found who scored more than average in DEX questionnaire.
View Article and Find Full Text PDFWere examined 310 injured persons with the closed cranio-cerebral trauma. Follow-up is up to 25 years. Various psychoneurological and vegetovisceral disorders are revealed.
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