Morphologic Severity of Craniosynostosis: Implications for Speech and Neurodevelopment

2021 ◽  
pp. 105566562098464
Author(s):  
Damini Tandon ◽  
Gary B. Skolnick ◽  
Sybill D. Naidoo ◽  
Lynn Marty Grames ◽  
Mary Michaeleen Cradock ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Rank Correlation ◽  
Area Ratio ◽  
Anterior Cranial Fossa ◽  
Cephalic Index ◽  
Metopic Synostosis ◽  
Neurodevelopmental Deficits ◽  
Cranial Fossa ◽  
Psychological Concern ◽  
Single Suture

Background: Single-suture craniosynostosis (SSC) can be associated with neurodevelopmental deficits. We examined the correlation between morphologic severity and incidence of speech-language or psychological concerns. Methods: In 62 patients (33 sagittal, 17 metopic, and 12 unicoronal), morphologic severity was determined via preoperative computed tomography (CT). Severity metrics for sagittal, metopic, and unicoronal synostosis were adjusted cephalic index (aCI), interfrontal angle (IFA), and anterior cranial fossa area ratio (ACFR), respectively. Speech-language and psychological concerns were assessed at age ≥4.5 years and defined as recommendation for therapy or monitoring. Results: Mean assessment age was 5.7 years; 32% had a speech-language concern and 44% had a psychological concern; 44% had neither. Sagittal: Mean aCI of those with a speech-language concern (0.62) and those without (0.62) were equivalent ( P = .580), as were mean aCI of those with a psychological concern (0.62) and those without (0.62; P = .572). Metopic: Mean IFA with (117.9) and without (125.2) a speech-language concern were equivalent ( P = .326), as were mean IFA with (120.2) and without (123.2) a psychological concern ( P = .711). Unicoronal: Mean ACFR with (0.65) and without (0.69) a psychological concern ( P = .423) were equivalent. However, mean ACFR with (0.74) and without (0.63) a speech-language concern were not ( P = .022*). Bivariate rank correlation showed significant association between morphologic severity and speech-language score only for unicoronal synostosis (ρ = .722; P = .008*). Conclusion: A significant portion of patients with SSC had speech-language or psychological concerns. We found no correlation between morphologic severity and incidence of speech-language or psychological concerns for patients with sagittal or metopic synostosis. Morphological severity did correlate with speech concerns in patients with unicoronal synostosis.

Anterior Cranial Fossa Defects: Technical Account of Repair with an Open, Non-Buttressed Approach

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Chiazo Amene ◽  
Papireddy Bollam ◽  
Minervia Nixon ◽  
Anil Nanda ◽  
Bharat Guthikonda
Keyword(s):  
Anterior Cranial Fossa ◽  
Cranial Fossa

scholarly journals Transnasal flow reduction in endovascular treatment for anterior cranial fossa dural arteriovenous fistula

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Shuhei Kawabata ◽  
Hajime Nakamura ◽  
Takeo Nishida ◽  
Masatoshi Takagaki ◽  
Nobuyuki Izutsu ◽  
...  
Keyword(s):  
Blood Flow ◽  
Endovascular Treatment ◽  
Arteriovenous Fistula ◽  
Dural Arteriovenous Fistula ◽  
Transarterial Embolization ◽  
Anterior Cranial Fossa ◽  
Maxillary Artery ◽  
Flow Reduction ◽  
Cranial Fossa ◽  
Embolic Materials

ABSTRACT Transarterial embolization (TAE) is a useful option for anterior cranial fossa–dural arteriovenous fistula (ACF–dAVF) as endovascular devices have progressed. Liquid agents are usually injected via a microcatheter positioned just proximal to the shunt pouch beyond the ophthalmic artery; however, high blood flow from the internal maxillary artery (IMA) often impedes penetration of embolic materials into the shunt pouch. Therefore, reducing blood flow from the IMA before embolization can increase the success rate. In the present case, to reduce blood flow from branches of the IMA, we inserted surgical gauze infiltrated with xylocaine and epinephrine into bilateral nasal cavities. Using this method, we achieved curative TAE with minimal damage to the nasal mucosa. Transnasal flow reduction is an easy, effective and minimally invasive method. This method should be considered in the endovascular treatment of ACF–dAVF, especially in patients with high blood flow from theIMA.

Intracranial diverticulum of the frontal sinus as a complication of frontal craniotomy

1979 ◽  
Vol 51 (6) ◽  
pp. 870-871 ◽  
Author(s):  
L. Anne Hayman ◽  
Alfonso E. Aldama-Luebbert ◽  
Robert A. Evans
Keyword(s):  
Frontal Sinus ◽  
Anterior Cranial Fossa ◽  
Content Type ◽  
Sinus Wall ◽  
Cranial Fossa ◽  
Sinus Mucosa ◽  
Fine Print

✓ A large air-filled intracranial extradural diverticulum of the frontal sinus mucosa was removed from the anterior cranial fossa of a 47-year-old man 2 years after fracture of the posterior sinus wall during craniotomy.

A Pure Endoscopic Endonasal Resection of an Esthesioneuroblastoma Invading the Anterior Cranial FOSSA

2021 ◽  
Author(s):  
G. Rene Alvarez Berastegui ◽  
Jose Chaves ◽  
Monica Ortega ◽  
Andres Fuentes
Keyword(s):  
Anterior Cranial Fossa ◽  
Endoscopic Endonasal ◽  
Cranial Fossa

Ossifying Fibroma Involving the Paranasal Sinuses, Orbit, and Anterior Cranial Fossa

Neurosurgery ◽  
1995 ◽  
Vol 36 (6) ◽  
pp. 1192-1195 ◽  
Author(s):  
Kazuhiko Nakagawa ◽  
Yoshio Takasato ◽  
Yoshifumi Ito ◽  
Kazuaki Yamada
Keyword(s):  
Paranasal Sinuses ◽  
Anterior Cranial Fossa ◽  
Ossifying Fibroma ◽  
Cranial Fossa

scholarly journals Olfactory Nerve Schwannoma: A Case Report and Review of the Literature

2018 ◽  
Vol 04 (03) ◽  
pp. e164-e166 ◽  
Author(s):  
Mahmoud Taha ◽  
Amr AlBakry ◽  
Magdy ElSheikh ◽  
Tarek AbdelBary
Keyword(s):  
Case Report ◽  
Peripheral Nerves ◽  
Traffic Accident ◽  
Road Traffic ◽  
Olfactory Nerve ◽  
Anterior Cranial Fossa ◽  
Benign Tumors ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Cranial Fossa

AbstractSchwannomas are benign tumors, which arise from the Schwann cells of the central or peripheral nerves. They form 8% of all intracranial tumors and most of the cases arise from vestibular division of the 8th cranial nerve. Rare cases are shown to arise from the olfactory or optic nerve, being devoid of myelin sheath. Up to date and according to our best of knowledge, 66 cases have been reported till now. Here we present a review of the literature and a case report of a 56-year-old male with an accidently discovered anterior cranial fossa schwannoma, following a road traffic accident. Tumor was completely excised, using a right frontal approach. Histopathology revealed Antoni-A cellular pattern. Although rare, but olfactory nerve schwannomas should be included in the differential diagnosis in anterior cranial fossa space occupying lesions, and the approach should be designed taking into consideration, this rare entity.

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