scholarly journals Chronic Debilitating Headache in Adults Caused by Craniocerebral Disproportion: Treatment by Cranial Vault Expansion

Cureus ◽  
2018 ◽  
Author(s):  
Ken R Winston ◽  
Brooke French ◽  
Jason Bunn
Keyword(s):  
Cranial Vault ◽  
Craniocerebral Disproportion

Successful treatment of post-shunt craniocerebral disproportion by coupling gradual external cranial vault distraction with continuous intracranial pressure monitoring

2013 ◽  
Vol 11 (6) ◽  
pp. 653-657 ◽  
Author(s):  
Adam L. Sandler ◽  
Lawrence B. Daniels ◽  
David A. Staffenberg ◽  
Eliezer Kolatch ◽  
James T. Goodrich ◽  
...  
Keyword(s):  
Intracranial Pressure ◽  
Temporal Correlation ◽  
Cranial Vault ◽  
Intracranial Volume ◽  
Icp Monitoring ◽  
Plateau Waves ◽  
Craniocerebral Disproportion ◽  
Reproducible Method ◽  
Definition Of ◽  
Cranial Expansion

A subset of hydrocephalic patients in whom shunts are placed at an early age will develop craniocerebral disproportion (CCD), an iatrogenic mismatch between the fixed intracranial volume and the growing brain. The lack of a reliable, reproducible method to diagnose this condition, however, has hampered attempts to treat it appropriately. For those practitioners who acknowledge the need to create more intracranial space in these patients, the lack of agreed-upon therapeutic end points for cranial vault expansion has limited the use of such techniques and has sometimes led to problems of underexpansion. Here, the authors present a definition of CCD based primarily on the temporal correlation of plateau waves on intracranial pressure (ICP) monitoring and headache exacerbation. The authors describe a technique of exploiting continued ICP monitoring during progressive cranial expansion in which the goal of distraction is the cessation of plateau waves. Previously encountered problems of underexpansion may be mitigated through the simultaneous use of ICP monitors and gradual cranial expansion over time.

Shunt-related craniocerebral disproportion: treatment with cranial vault expanding procedures

2006 ◽  
Vol 29 (3) ◽  
pp. 229-235 ◽  
Author(s):  
Juan F. Martínez-Lage ◽  
Antonio Ruiz-Espejo Vilar ◽  
Miguel A. Pérez-Espejo ◽  
María-José Almagro ◽  
Javier Ros de San Pedro ◽  
...  
Keyword(s):  
Cranial Vault ◽  
Craniocerebral Disproportion

ε‐Aminocaproic acid versus tranexamic acid in children undergoing complex cranial vault reconstruction for repair of craniosynostosis

2021 ◽  
Author(s):  
Alexandra J. Borst ◽  
Christopher M. Bonfield ◽  
Poornachanda S. Deenadayalan ◽  
Chi H. Le ◽  
Meng Xu ◽  
...  
Keyword(s):  
Tranexamic Acid ◽  
Aminocaproic Acid ◽  
Cranial Vault ◽  
Acid Versus

An algorithmic clinicoradiological approach to paediatric cranial vault lesions: distinguishing normal variants from pathologies

2021 ◽  
pp. 1-14
Author(s):  
Ai Peng Tan ◽  
Shabana Rasheed ◽  
Jai Sidpra ◽  
Mei Chin Lim ◽  
Greg James ◽  
...  
Keyword(s):  
Cranial Vault ◽  
Normal Variants

Surviving (but not thriving) after cranial vault trauma: A case study from Transylvania

2021 ◽  
Vol 34 ◽  
pp. 122-129
Author(s):  
Jonathan D. Bethard ◽  
Timothy J. Ainger ◽  
Andre Gonciar ◽  
Zsolt Nyárádi
Keyword(s):  
Cranial Vault

scholarly journals Primary Cranial Vault Lymphoma Extending between Subcutaneous Tissue and Brain Parenchyma without Skull Destruction after Mild Head Trauma: A Case Report and Literature Review

2021 ◽  
pp. 1118-1123
Author(s):  
Kengo Setta ◽  
Takaaki Beppu ◽  
Yuichi Sato ◽  
Hiroaki Saura ◽  
Junichi Nomura ◽  
...  
Keyword(s):  
Tumor Cells ◽  
Head Trauma ◽  
Dura Mater ◽  
Subcutaneous Tissue ◽  
Bone Destruction ◽  
B Cell Lymphoma ◽  
Brain Parenchyma ◽  
Skin Tumor ◽  
Cranial Vault ◽  
The Brain

Malignant lymphoma of the head rarely arises outside of the brain parenchyma as primary cranial vault lymphoma (PCVL). A case of PCVL that invaded from subcutaneous tissue into the brain, passing through the skull, and occurred after mild head trauma is reported along with a review of the literature. The patient was a 75-year-old man with decreased activity. One month before his visit to our hospital, he bruised the left frontal area of his head. Magnetic resonance imaging showed homogeneously enhanced tumors with contrast media in the subcutaneous tissue corresponding to the head impact area and the cerebral parenchyma, but no obvious abnormal findings in the skull. A biopsy with craniotomy was performed under general anesthesia. The pathological diagnosis was diffuse large B-cell lymphoma. On histological examination, tumor cells grew aggressively under the skin. Tumor cells invaded along the emissary vein into the external table without remarkable bone destruction and extended across the skull through the Haversian canals in the diploe. Tumor cells were found only at the perivascular areas in the dura mater and extended into the brain parenchyma. Considering the history of head trauma and the neuroimaging and histological findings, the PCVL in the present case arose primarily under the skin, passed though the skull and dura mater, and invaded along vessels and reached the brain.

Fixed posterior cranial vault expansion technique

2021 ◽  
Author(s):  
Federico DI Rocco ◽  
Maria Licci ◽  
Agnes Paasche ◽  
Alexandru Szathmari ◽  
Pierre Aurélien Beuriat ◽  
...  
Keyword(s):  
Cranial Vault ◽  
Expansion Technique

scholarly journals Primary and metastatic paraganglioma of the cranial vault

2021 ◽  
pp. 1-9
Author(s):  
Pramath Kakodkar ◽  
Lena Mary Houlihan ◽  
Mark Preul ◽  
Niamh Bermingham ◽  
Chris Lim
Keyword(s):  
Cranial Vault
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