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Child's Nervous System
Published in: Child's Nervous System 4/2019

01-04-2019 | Case Report

Sagittal craniosynostosis associated with midline cephalhematoma or vice versa, case report and a review of the literature

Authors: Petr Liby, V. Lomachinsky, G. Felici, M. Vaculik, H. Krasnicanova, M. Tichy

Published in: Child's Nervous System | Issue 4/2019

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Abstract

Introduction

Sagittal craniosynostosis associated with midline cephalhematoma is a rare finding. Despite the controversy regarding its etiopathogenesis, this condition represents a clear indication for surgery.

Case report

We present a case of a 10-week-old boy with an ossified midline vertex cephalhematoma and sagittal craniosynostosis. The child underwent a cephalhematoma excision and minimally invasive non-endoscopic narrow vertex craniectomy, with calvarial vault remodeling followed by 2 weeks use of a cranial orthosis. On 5-month follow-up, mesocephaly was achieved.

Conclusion

Our case is well documented with native CT, 3D CT, intraoperative pictures, and 3D head scan imaging. We described our minimally invasive non-endoscopic technique that led to a rapid cranial vault remodeling with reduction of cranial orthosis need. A review of literature focused on surgical techniques is included.
Literature
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Merlob P, Grunebaum M, Reisner SH (1985) Crossed sagittal-suture cephalhematoma. Brit J Radiol 58:1007–1008CrossRefPubMed
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Kaiser GL, Oesch V (2009) Sagittal craniosynostosis combined with ossified cephalhematoma - a tricky and demanding puzzle. Childs Nerv Syst 25(1):103–110CrossRefPubMed
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Piatt JH Jr (2010) Sagittal synostosis and ossified scalp hematoma: cause or consequence ? J Neurosurg Pediatr Jul 6(1):29–32CrossRef
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Currarino G (2007) Neonatal subperiosteal cephalohematoma crossing a synostosed sagittal suture. Pediatr Radiol 37:1283–1285CrossRefPubMed
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Nguyen DC, Patel KB, Woo AS, Kane AA, Smyth MD (2014) Endoscopic-assisted treatment of sagittal craniosynostosis and calcified cephalohematoma. J Craniofac Surg Nov 25(6):2127–2129
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Liu L, Dong C, Chen L (2016) Surgical treatment of ossified cephalhematoma: a case report and review of the literature. World Neurosurgery 96:614.e7–614.e9CrossRef
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Mutchnick I, Maugans T (2012) Nonendoscopic, minimally invasive calvarial vault remodeling without postoperative helmeting for sagittal synostosis. J Neurosurg Pediatr 9(3):222–227CrossRefPubMed
Metadata
Title
Sagittal craniosynostosis associated with midline cephalhematoma or vice versa, case report and a review of the literature
Authors
Petr Liby
V. Lomachinsky
G. Felici
M. Vaculik
H. Krasnicanova
M. Tichy
Publication date
01-04-2019
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 4/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-018-4020-6

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