EPIDEMIOLOGIC AND SURGICAL APPROACH OF CRANYOSYNOSTOSIS: CASE OF MADAGASCAR AND REVIEW OF LITERATURE
DOI:
https://doi.org/10.53555/nnmhs.v5i9.793Keywords:
Craniosynostosis, surgery, Madagascar, transfusionAbstract
Introduction: Craniosynostosis is a premature closure of one or more sutures of the skull. She reaches 1 child out of 2100. She is responsible for a psychomotor developmental delay. The objective of this study was to define epidemiology, surgical approach and compare with literature.
Methods: this was a multicenter retrospective descriptive study performed in hospitalized children operated or not on three neurosurgery centers (CHU-JRA, CENHOSOA and Fianarantsoa), from January 2010 to December 2017. Variables studied: epidemiology, clinical, paraclinical and therapeutic.
Results: During the targeted period, 52 children had craniosynostosis (4 cases at CENHSOA, 6 at Fianarantsoa and 42 at CHUA-HJRA). There was a clear male predominance with a sex ratio of 2.4. The average age was 13.11 months. Several types of craniosynostosis were reported, the majority of which were dominated by brachycephaly in 40.38% followed by scaphocephalia (21.15%) and 2 cases of Apert Syndrome. The main symptom was delayed psychomotor development (34.46%). A standard radiography of the skull required in 76.92% and a scanner in 15.38% of the cases. The average age at surgery was 13.04 months. The majority of the surgical techniques practiced were a suturotomy, with blood transfusion and the majority of which at the time of the incision.
Conclusion: Craniosynostosis is a pathology that requires neurosurgical management. Several operative techniques exist but the indication depends on the age and the clinicoradiological aspect of the pathology. The main cause of death is related to intraoperative bleeding.
References
Öcal E, Sun PP, Persing JA. Craniosynostosis. In: Albright AL, Pollack IF, Adelson PD, editors. Principles and practice of pediatric neurosurgery. New York: Thieme; 2008; 265-88.
Warren SM, Proctor MR, Bartlett SP et al. Parameters of care for craniosynostosis: craniofacial and neurologic surgery perspectives. Plast Reconstr Surg 2012; 129:731-7.
Shuper A, Merlob P, Grunebaum M, Reisner SH: The incidence of isolated craniosynostosis in the newborn infant. Am J Dis Child 1985; 139:85-6.
Lajeunie E, Le Merrer M, Bonaiti-Pellie C, et al: Genetic study of scaphocephaly. Am J Med Genet 1996; 62:282-5.
Renier D, Sainte-Rose C, Marchac D, Hirsch JF. Intracranial pressure in craniostenosis. J Neurosurg. 1982; 57:370-7.
Ruane EJ, Garland CB, Camison L, Fenton RA, Nischal KKPollack IF. A Treatment Algorithm for Patients Presenting with Sagittal Craniosynostosis after the Age of 1 Year. Plastic and Reconstructive Surgery. Sept 2017; 140(3): 58290.
Lajeunie E, Le Merrer M, Bonaiti-Pellie C, et al: Genetic study of scaphocephaly. Am J Med Genet 1996; 62:282-5.
Mircevski V, Zogovska E, Chaparoski A, Micunovic M, Filipce V, Mirchevski MM et al. Trigonocephaly, our experience and treatment in the Republic of Macedonia. Maza 2017; 1: 36-40.
Cornelissen MJ, Loudon SE, van Doorn FEC, Muller RPM, van Veelen MC, Mathijssen IMJ. Very Low Prevalence of Intracranial Hypertension in Trigonocephaly. Plast Reconstr Surg 2017. 139(1): 97-104.
ECH-CHAFAIY B. La prise en charge des craniosténoses au CHU Mohammed VI de Marrakech [Thèse] Medecine: Dakar; 2011. 109p.
Hukki A, Koljonen V, Karppinen A, Valanne L, Leikola J. Brain anomalies in 121 children with non-syndromic single suture craniosynostosis by MR imaging. Eur J Paediatr Neurol 2012; 16(6): 671-5.
Bernard JP, Levaillant JM. Diagnostic prénatal des craniosténoses. Neurochirurgie 2006; 52,2-3:258.
Doumit GD, Papay FA, Moores N et al. Management of sagittal synostosis: a solution to equipoise. J Craniofac Surg 2014; 25 (4):1260-5.
Baird LC, Proctor MR, , Albright AL, Pollack IF, Adelson PD. Principles and Practice of Pediatric Neurosurgery, 3th edition 2014: 237-48.
Kucuk A, Tumturk A, Cergin IS, Oral S, Gorkem SB, Kurtsoy A et al. The Management of Blood Loss in NonSyndromic Craniosynostosis Patients Undergoing Barrel Stave Osteotomy. Turk Neurosurg 2017; 27(1): 138-41.
Kirmi O, Steven LO, Johnson D, Anslow P. Craniosynostosis: A Radiological and Surgical Perspective. Semin Ultrasound CT MR 2009;30(6):492-512
Dhellemmes P, Pellerin P, Vinchon M, Capon N. Quand et comment faut-il opérer une craniosténose? Ann Fr Anesth Réanim 2002;21(2):103-10.
Arnaud E, Marchac D, Renier D. Le traitement des craniosténoses : indications et techniques. Neurochirurgie 2006;52(2-3), 264-91.
Lee BS, Hwang LS, Doumit GD, Wooley J, Papay FA, Luciano MG, Recinos VM. Management options of nonsyndromic sagittal craniosynostosis. Journal of Clinical Neuroscience. 2017; 39 : 28-34
Renier D. Intracranial pressure in craniosynostosis: pre and postoperative recordings – correction with functional results. In: Persing JA, Edgerton MT, Jane JA, editors. Scientific foundations and surgical treatment of craniosynostosis. Philadelphia: Williams Wilkins; 1995: 263–9.
Erşahin Y. Endoscope-assisted repair of metopic synostosis. Childs Nerv Syst 2013; 29: 2195-99.
Jimenez DF, Barone CM. Early treatment of coronal synostosis with endoscopyassisted craniectomy and postoperative cranial orthosis therapy: 16-year experience. J Neurosurg Pediatrics 2013; 12: 207-19.
Kaisorn L, Chaichana KL, Jallo GI, Dorafshar AH, Ahn ES. Novel use of an ultrasonic bone-cutting device for endoscopic-assisted craniosynostosis surgery. Childs Nerv Syst 2013; 29:1163-8.
Massimi L, Di Rocco C. Mini-invasive surgical technique for sagittal craniosynostosis. Childs Nerv Syst 2012; 28:1341-5.
Meier PM, Zurakowski D, Goobie SM et al. Multivariable predictors of substantial blood loss in children undergoing craniosynostosis repair: Implications for risk stratification. Paediatr Anaesth 2016; 26:960.
Chow I, Purnell CA, Gosain AK. Assessing the impact of blood loss in cranial vault remodeling: A risk assessment model using the 2012 to 2013 Pediatric National Surgical Quality Improvement Program data sets. Plast Reconstr Surg 2015; 136: 1249.
Raja RA, Khemani VD, Sheikh S, Khan H. Craniosynostosis: Early recognition prevents fatal complications. J Ayub Med Coll Abbottabad 2011; 23:140-143.
Kang JK, Lee SW, Baik MW, Son BC, Hong YK, Jung CK et al. Perioperative specific management of blood volume loss in craniosynostosis surgery. Childs Nerv Syst 1998; 14: 297-30.
Lee BS, Hwang LS, Doumit GD, Wooley J, Papay FA, Luciano MG, Recinos VM. Management options of nonsyndromic sagittal craniosynostosis. Journal of Clinical Neuroscience. 2017 ; 39 : 28-34
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Licensing
Ninety Nine Publication publishes articles under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This licensing allows for any use of the work, provided the original author(s) and source are credited, thereby facilitating the free exchange and use of research for the advancement of knowledge.
Detailed Licensing Terms
Attribution (BY): Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the licensor endorses them or their use.
No Additional Restrictions: Users may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
