Pancraniosynostosis following endoscope-assisted strip craniectomy and helmet orthosis for sagittal suture craniosynostosis in a nonsyndromic patient

Case report

Restricted access

A variety of surgical strategies are used to correct sagittal craniosynostosis. There is increasing experience with the use of endoscope-assisted techniques, although there is no consensus regarding the optimal technique. Pancraniosynostosis occurring after the surgical repair of single-suture craniosynostosis is an unusual complication. The authors describe the case of a nonsyndromic patient who underwent an endoscope-assisted strip craniectomy with the subsequent use of a helmet orthosis for correction of an isolated sagittal suture craniosynostosis. The patient's early postoperative course was uneventful. Pancraniosynostosis subsequently developed, requiring much more extensive surgical correction. Awareness of this potential complication is necessary to ensure its recognition and appropriate management.

Article Information

Contributor Notes

Address correspondence to: P. Daniel McNeely, M.D., Division of Neurosurgery, IWK Health Centre, 5850 University Avenue, P.O. Box 9700, Halifax, Nova Scotia B3K 6R8, Canada. email: include this information when citing this paper: published online May 10, 2013; DOI: 10.3171/2013.4.PEDS12445.
  • 1

    Barone CMJimenez DF: Endoscopic craniectomy for early correction of craniosynostosis. Plast Reconstr Surg 104:196519751999

  • 2

    Berry-Candelario JRidgway EBGrondin RTRogers GFProctor MR: Endoscope-assisted strip craniectomy and postoperative helmet therapy for treatment of craniosynostosis. Neurosurg Focus 31:2E52011

    • Search Google Scholar
    • Export Citation
  • 3

    Chumas PDCinalli GArnaud EMarchac DRenier D: Classification of previously unclassified cases of craniosynostosis. J Neurosurg 86:1771811997

    • Search Google Scholar
    • Export Citation
  • 4

    Greene CS Jr: Pancraniosynostosis after surgery for single sutural craniosynostosis. Pediatr Neurosurg 29:1271321998

  • 5

    Hudgins RJCohen SRBurstein FDBoydston WR: Multiple suture synostosis and increased intracranial pressure following repair of single suture, nonsyndromal craniosynostosis. Cleft Palate Craniofac J 35:1671721998

    • Search Google Scholar
    • Export Citation
  • 6

    Jimenez DFBarone CM: Early treatment of anterior calvarial craniosynostosis using endoscopic-assisted minimally invasive techniques. Childs Nerv Syst 23:141114192007

    • Search Google Scholar
    • Export Citation
  • 7

    Jimenez DFBarone CM: Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis. J Neurosurg 88:77811998

  • 8

    Jimenez DFBarone CMCartwright CCBaker L: Early management of craniosynostosis using endoscopic-assisted strip craniectomies and cranial orthotic molding therapy. Pediatrics 110:971042002

    • Search Google Scholar
    • Export Citation
  • 9

    Lane LC: Pioneer craniectomy for relief of mental imbecility due to premature sutural closure and microcephalie. JAMA 18:49601892

  • 10

    Lannelongue M: De la craniectomie dans la microcephalie. CR Acad Sci 110:138213851890

  • 11

    Murad GJClayman MSeagle MBWhite SPerkins LAPincus DW: Endoscopic-assisted repair of craniosynostosis. Neurosurg Focus 19:6E62005

    • Search Google Scholar
    • Export Citation
  • 12

    Reddy KHoffman HArmstrong D: Delayed and progressive multiple suture craniosynostosis. Neurosurgery 26:4424481990



All Time Past Year Past 30 Days
Abstract Views 277 276 64
Full Text Views 88 79 1
PDF Downloads 197 127 0
EPUB Downloads 0 0 0
Google Scholar