ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2008
Abnormal venous drainage in syndromic craniosynostosis and the role of CT venography.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- A Unique Case of Pure Bilateral Lambdoid Craniosynostosis and Progression to Mercedes-Benz Syndrome Following Spring Cranioplasty.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026Article
- Preservation of Enlarged Mastoid Emissary Vein during Microvascular Decompression for Trigeminal Neuralgia Accompanied by Abnormal Venous Drainage: A Technical Case Report.NMC case report journal · 2023Article
- Radiological and Morphometric Study of the Emissary Foramens and Canal in the Posterior Cranial Fossa of the Human Skull with Its Neurosurgical Significance.Asian journal of neurosurgery · 2022Article
- Mastoid Emissary Vein Canal Incidence and Its Relationship with Jugular Bulb and Sigmoid Sulcus Anatomical Variations.Turkish archives of otorhinolaryngology · 2021Article
- Craniovascular traits and braincase morphology in craniosynostotic human skulls.Journal of anatomy · 2021Article
- Venous anomalies in hypoplastic posterior fossa: unsolved questions.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Review
- Sinus pericranii-unusual anatomic obstacle to posterior decompression on an amniotic band sequence.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Saethre-Chotzen syndrome: long-term outcome of a syndrome-specific management protocol.Developmental medicine and child neurology · 2021Article
- Evaluation of the Mastoid Emissary Canals with Computerized Tomography in Patients with Chronic Otitis Media.Journal of neurological surgery. Part B, Skull base · 2020Article
- Venous pathologies in paediatric neuroradiology: from foetal to adolescent life.Neuroradiology · 2020Review
- Bilateral Severely Stenotic Jugular Foramen: Diagnosis and Management from the Otologist/Neurotologist Point of View.Case reports in otolaryngology · 2020Article
- Chiari 1 malformation and untreated sagittal synostosis: a new subset of complex Chiari?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019Article
- Emissary veins prevalence and evaluation of the relationship between dural venous sinus anatomic variations with posterior fossa emissary veins: MR study.La Radiologia medica · 2019Article
- Clinical Significance of Venous Anomalies in Syndromic Craniosynostosis.Plastic and reconstructive surgery. Global open · 2018Article
- Use of Multidirectional Cranial Distraction Osteogenesis for Cranial Expansion in Syndromic Craniosynostosis.Plastic and reconstructive surgery. Global open · 2017Article
- Mechanics of the brain: perspectives, challenges, and opportunities.Biomechanics and modeling in mechanobiology · 2015Review
- Guideline for Care of Patients With the Diagnoses of Craniosynostosis: Working Group on Craniosynostosis.The Journal of craniofacial surgery · 2015Article
- Diffusion Tensor Imaging and Fiber Tractography in Children with Craniosynostosis Syndromes.AJNR. American journal of neuroradiology · 2015Article
- The anatomical variability of the emissary condylar veins, its identification and clinical significance.Journal of neurosciences in rural practice · 2015Article
- Cephalometric Features of Moyamoya Disease: A case control study.Journal of vascular and interventional neurology · 2014Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveVenous hypertension is emerging as a significant contributor to intracranial pressure in children with syndromic craniosysnostosis. This is associated with jugular foramen stenosis or atresia and with the development of collateral emissary veins. We demonstrate how computed tomography venography can document the prevalence of these emissary veins and how their visualisation plays an important role in operative planning. MATERIALS AND
methodsPatients with known syndromic craniosynostosis underwent computed tomography venography as part of their routine pre-operative evaluation. The venous drainage pattern was examined in these patients, with a special note of the presence of abnormal venous pathways.
resultsEleven patients were recruited into the study from ages 3 months to 22 years. All had a diagnosis of syndromic craniosynostosis with six Crouzon's, four Pfeiffer's and one patient with Crouzon's and acanthosis nigricans. Nine of 11 patients had demonstrable evidences of transosseous venous drainage through an identifiable abnormal emissary vein. Four of 11 had a transosseous route as the main mechanism of drainage for the cerebral venous system.
conclusionsPatients with syndromic craniosynostosis often demonstrate abnormal venous anatomy, which can have serious consequences on craniofacial surgery, especially when a posterior decompression is being considered. Based on these findings, the authors assert that those children with some syndromic craniosynostosis being considered for surgery should undergo venographic studies as part of their pre-operative evaluation.
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