scholarly journals A New Predictive Modality of Cranial Bone Thickness

1999 ◽  
Vol 42 (6) ◽  
pp. 651-657 ◽  
Author(s):  
Mohammed M. Elahi ◽  
Kenneth L. Watkin ◽  
M Suheil Hakim ◽  
Melvin D. Schloss ◽  
M Lucie Lessard
Keyword(s):  
2021 ◽  
Author(s):  
Larissa K Dill ◽  
Natalie A Sims ◽  
Ali Shad ◽  
Chidozie Anyaegbu ◽  
Andrew Warnock ◽  
...  

While it is well-established that bone responds dynamically to mechanical loading, the effects of mild traumatic brain injury (mTBI) on cranial bone composition are unclear. We hypothesized that repeated mTBI (rmTBI) would change the microstructure of cranial bones, without gross skull fractures. To address this, young adult female Piebald Viral Glaxo rats received sham, 1x, 2x or 3x closed-head mTBIs delivered at 24h intervals, using a weight drop device custom built for reproducible impact. Skull bones were collected at 2 or 10 weeks after the final injury/sham procedure, imaged by micro computed tomography and analyzed at predetermined regions of interest. In the interparietal bone, proximal to the injury site, modest increases in bone thickness was observed at 2 weeks, particularly following 3x mTBI. By 10 weeks, 2x mTBI induced a robust increase in the volume and thickness of the interparietal bone, alongside a corresponding decrease in the volume of marrow cavities in the diploe region. In contrast, neither parietal nor frontal skull samples were affected by rmTBI. Our findings demonstrate time- and location-dependent effects of rmTBI on cranial bone structure, highlighting a need to consider microstructural alterations to cranial bone when assessing the consequences of rmTBI.


1997 ◽  
Vol 8 (3) ◽  
pp. 213-221 ◽  
Author(s):  
Mohammed M. Elahi ◽  
M. Lucie Lessard ◽  
Souheil Hakim ◽  
Kenneth Watkin ◽  
John Sampalis
Keyword(s):  

2019 ◽  
Vol 30 (8) ◽  
pp. e780-e784
Author(s):  
Sandeep B ◽  
Ramesh K. Sharma ◽  
Jerry R. John ◽  
Niranjan Khandelwal

Author(s):  
Hepzibha Alexander ◽  
Islam Fayed ◽  
Chima O Oluigbo

Abstract BACKGROUND Stereoelectroencephalography (sEEG) using depth electrodes has become a mainstay of pediatric epilepsy surgery. This technique relies on rigid cranial fixation using skull pins, which forms the basis for accurate stereotactic navigation. The use of cranial fixation pins poses the threat of traumatic skull injuries in young children because of inadequate cranial bone thickness. OBJECTIVE To describe a rigid cranial fixation technique involving the integrated Gel Head Ring from the DORO QR3 multipurpose skull clamp set (Pro Med Instruments) with superimposed pin fixation in children below the age of 36 mo undergoing sEEG. METHODS Patients were placed in the supine position and the head was fixed using a DORO skull clamp with 3 pediatric cranial pins. The head was supported on the integrated Gel Head Ring, and a pin pressure of 20 pounds was applied. The DORO skull clamp set was then attached to the ROSA neurosurgical robot support telescopic arm for stereotactic navigation. RESULTS We present an illustrative series of 2 patients below the age of 3 yr with medically refractory epilepsy who underwent sEEG using our modified cranial fixation technique. Head position and reference registration were stable throughout the surgeries. Postoperative volumetric computed tomography scans of the head showed accurate placement of sEEG depth electrodes and did not reveal any fractures or epidural hematoma. No other complications related to cranial fixation were noted. CONCLUSION Concurrent use of rigid and nonrigid cranial fixation using the DORO skull clamp set provides safe and effective cranial fixation in infants and toddlers undergoing sEEG.


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