8才にて頭蓋内圧亢進を呈したsagittal synostosisの1例

概要

論文の詳細を見る
A case of sagittal synostosis with increased intracranial pressure is reported. The patient was an 8-year-old boy who presented early morning headache and vomiting. Continuous intracranial pressure monitoring revealed high basal pressure and pressure waves (mainly B-waves) during sleep. The patient underwent bilateral parasagittal craniectomies. The intracranial pressure was again measured 4 weeks after the operation. Although the basal pressure had not change, the pressure waves disappeared. His symptoms disappeared after the operation. At present, he is attending school without any problems. It is generally considered that there is no indication for surgery for single premature closure of the suture in a patient over 1 year of age. However, some authors advocate surgery in cases, where continuous intracranial pressure shows abnormal waves. It might be advisable to record the continuous intracranial pressure, to determine whether an operation is indicated or not in patients with single craniosynostosis.
日本脳神経外科学会の論文
1985-10-15