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

Case report

Gregory H. Jenkins M.D., Nicola R. Smith, and P. Daniel McNeely M.D., F.R.C.S.C.
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  • IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada
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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.

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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: dmcneely@dal.ca.

Please include this information when citing this paper: published online May 10, 2013; DOI: 10.3171/2013.4.PEDS12445.

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