Evidence map›Paper›PMID 29464157›Full record

ArticlePlastic and reconstructive surgery. Global open2018

Clinical Significance of Venous Anomalies in Syndromic Craniosynostosis.

Andrea E Copeland, Caitlin E Hoffman, Vassilios Tsitouras, Dhruve S Jeevan, Emily S Ho, James M Drake, Christopher R Forrest

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Cranium growth, patterning and homeostasis.Development (Cambridge, England) · 2022
    Article
  3. Article
  4. Craniosynostosis and hydrocephalus: relevance and treatment modalities.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  5. Article
  6. Venous anomalies in hypoplastic posterior fossa: unsolved questions.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Review
  7. Posterior vault distraction technique: how I do it.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  8. Fixed posterior cranial vault expansion technique.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  9. Article
  10. Article
  11. Ventricular shunt complications in patients undergoing posterior vault distraction osteogenesis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Article
  12. Pfeiffer Syndrome: A Therapeutic Algorithm Based on a Modified Grading Scale.Plastic and reconstructive surgery. Global open · 2020
    Article
  13. Which neuroimaging techniques are really needed in Chiari I? A short guide for radiologists and clinicians.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Andrea E CopelandDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada; and Division of Neurosurgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Caitlin E HoffmanDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada; and Division of Neurosurgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Vassilios TsitourasDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada; and Division of Neurosurgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Dhruve S JeevanDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada; and Division of Neurosurgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Emily S HoDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada; and Division of Neurosurgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
James M DrakeDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada; and Division of Neurosurgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Christopher R ForrestDivision of Plastic and Reconstructive Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada; and Division of Neurosurgery, Department of Surgery, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe pattern of cranial venous drainage in syndromic craniosynostosis is unpredictable and not adequately understood. Collateral channels substitute for stenotic venous sinuses and pose potential risk for surgical intervention. The purpose of this study was to analyze the patterns of venous drainage in patients with syndromic craniosynostosis and their influence on operative planning and morbidity.

methodsA retrospective study of patients with syndromic craniosynostosis from 2000 to 2013 was performed. Demographic data were collected including phenotype and associated pathologies. Pre- and/or postoperative venous imaging was reviewed for venous sinus stenosis, collateral emissaries, and persistent fetal sinuses. Categorization of anomalous venous drainage was performed, and the relationship with surgical morbidity was assessed.

resultsForty-one patients were identified. Anomalies were present in 31 patients (76%) consisting of dural sinus stenosis in 28 (68%), dilated emissaries in 26 (63%), and fetal sinuses in 7 (17%). Pfeiffer syndrome was most commonly associated with anomalous drainage (100%). Venous anomalies were associated with elevated intracranial pressure (ICP), shunted hydrocephalus, Chiari malformations, and sleep apnea. In 5 cases, the surgical plan was adjusted based on anomalous anatomy. No mortalities occurred. Intraoperative complication rate was 7.3%, all with anomalous drainage. Median estimated blood loss was 1,100 cc for patients with anomalies versus 400 cc without anomalies (

conclusionCranial venous anomalies are commonly detected in patients with syndromic craniosynostosis and may affect surgical morbidity and outcome with a higher estimated blood loss, alteration of procedure, and postoperative morbidity. Detailed preoperative imaging of the venous drainage is therefore recommended in cases of syndromic synostosis.

Identifiers

PMID29464157
PMCPMC5811287

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.