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Skull Dehiscence and Dural Laceration in Unrecognized Familial Craniostenosis

Skull Dehiscence and Dural Laceration in Unrecognized Familial Craniostenosis Abstract The remarkably rapid rate of growth of the infant brain challenges all physicians to protect it in the first year of life. Dural laceration associated with a separation skull fracture is not an unusual occurrence in childhood. However, when this injury is associated with unrecognized craniostenosis the course of the disease and its management present interesting problems and emphasize the importance of aggressive treatment planned to allow maximum brain expansion. Craniostenosis is an unusual anomaly in which the cranial sutures close prematurely, restricting growth of the intracranial contents and causing distortion of the normal development of the skull. Skull expansion is limited by premature suture fusion and progresses most rapidly in the direction allowed by the suture lines which remain open. Scaphocephaly, the commonest variation, is produced by early closure of the sagittal suture and leads to anteroposterior lengthening of the cranium. Brachycephaly (acrocephaly), with increased transverse diameter of the References 1. French, L. A., and Suechting, R. L.: Familial Incidence of Craniosynostosis: Report of Two Cases Occurring in One Family , A. M. A. Am. J. Dis. Child. 89:486 ( (April) ) 1955. 2. Hope, J. W.; Spitz, E. B., and Slade, H. W.: The Early Recognition of Premature Cranial Synostosis , Radiology 65:183 ( (Aug.) ) 1955.Crossref 3. Ingraham, F. D., and Matson, D. D.: Craniosynostosis , in Neurosurgery of Infancy and Childhood , Springfield, Ill., Charles C Thomas, Publisher, 1954, Chap. 4, p. 83. 4. Laitinen, L., and Sulamaa, M.: Some Results of Operative Treatment for Craniostenosis , Acta pædiat. ( (Supp. 103) ) 44:1 (July) 1955.Crossref 5. Simmons, D. R., and Peyton, W. T.: Premature Closure of Cranial Sutures , J. Pediat. 31: 528 ( (Nov.) ) 1947.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Skull Dehiscence and Dural Laceration in Unrecognized Familial Craniostenosis

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1958.02060050528009
Publisher site
See Article on Publisher Site

Abstract

Abstract The remarkably rapid rate of growth of the infant brain challenges all physicians to protect it in the first year of life. Dural laceration associated with a separation skull fracture is not an unusual occurrence in childhood. However, when this injury is associated with unrecognized craniostenosis the course of the disease and its management present interesting problems and emphasize the importance of aggressive treatment planned to allow maximum brain expansion. Craniostenosis is an unusual anomaly in which the cranial sutures close prematurely, restricting growth of the intracranial contents and causing distortion of the normal development of the skull. Skull expansion is limited by premature suture fusion and progresses most rapidly in the direction allowed by the suture lines which remain open. Scaphocephaly, the commonest variation, is produced by early closure of the sagittal suture and leads to anteroposterior lengthening of the cranium. Brachycephaly (acrocephaly), with increased transverse diameter of the References 1. French, L. A., and Suechting, R. L.: Familial Incidence of Craniosynostosis: Report of Two Cases Occurring in One Family , A. M. A. Am. J. Dis. Child. 89:486 ( (April) ) 1955. 2. Hope, J. W.; Spitz, E. B., and Slade, H. W.: The Early Recognition of Premature Cranial Synostosis , Radiology 65:183 ( (Aug.) ) 1955.Crossref 3. Ingraham, F. D., and Matson, D. D.: Craniosynostosis , in Neurosurgery of Infancy and Childhood , Springfield, Ill., Charles C Thomas, Publisher, 1954, Chap. 4, p. 83. 4. Laitinen, L., and Sulamaa, M.: Some Results of Operative Treatment for Craniostenosis , Acta pædiat. ( (Supp. 103) ) 44:1 (July) 1955.Crossref 5. Simmons, D. R., and Peyton, W. T.: Premature Closure of Cranial Sutures , J. Pediat. 31: 528 ( (Nov.) ) 1947.Crossref

Journal

A.M.A. Journal of Diseases of Children – American Medical Association

Published: May 1, 1958

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