Evidence map›Paper›PMID 33194294›Full record

ArticleSurgical neurology international2020

Apert syndrome: Cranial procedures and brain malformations in a series of patients.

Pablo M Munarriz, Beatriz Pascual, Ana M Castaño-Leon, Ignacio García-Recuero, Marta Redondo, Ana Martínez de Aragón, Ana Romance

Abstract read
In one paragraph

Article in Surgical neurology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Early Motor Development and Rehabilitation Outcomes in Apert Syndrome: Gross Motor Function Measures-Case Report.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Article
  2. Article
  3. Syndromic Hydrocephalus.Neurosurgery clinics of North America · 2022
    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.

Pablo M MunarrizDepartment of Neurosurgery, Hospital 12 de Octubre, Madrid, Spain.
Beatriz PascualDepartment of Neurosurgery, Hospital 12 de Octubre, Madrid, Spain.
Ana M Castaño-LeonDepartment of Neurosurgery, Hospital 12 de Octubre, Madrid, Spain.
Ignacio García-RecueroDepartment of Oral and Maxillofacial Surgery Hospital 12 de Octubre, Madrid, Spain.
Marta RedondoDepartment of Oral and Maxillofacial Surgery Hospital 12 de Octubre, Madrid, Spain.
Ana Martínez de AragónDepartment of Radiology, Hospital 12 de Octubre, Madrid, Spain.
Ana RomanceDepartment of Oral and Maxillofacial Surgery Hospital 12 de Octubre, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApert syndrome is one of the most severe craniofacial disorders. This study aims to describe the craniofacial surgeries and central nervous system malformations of a cohort of children with Apert syndrome treated in the past 20 years and to compare these data with previously published data.

methodsRetrospective analysis of a series of patients with Apert syndrome treated between 1999 and 2019 in our hospital. Information was analyzed regarding craniofacial procedures, hydrocephalus and presence of shunts, Chiari malformation Type 1, and other brain malformations such as corpus callosum and septum pellucidum anomalies.

resultsThirty-seven patients were studied. Ventriculoperitoneal shunt prevalence was 24.3%, and 8.1% of patients required decompressive surgery for Chiari malformation. All of them needed at least one cranial vault remodeling procedure. The median age for this procedure was 8 months. In 69.7% of patients, the first cranial vault intervention was performed in the fronto-orbital region. In 36.4% of patients, a midface advancement had been performed at the time of this review, although this proportion was very dependent on the follow-up period and the age of the patients. The median age for the midface advancement procedure was 5.25 years. Anomalies of the corpus callosum and the septum pellucidum were reported in 43.2% and 59.5% of patients, respectively.

conclusionApert syndrome is a type of syndromic craniosynostosis, and patients usually require one or more cranial and facial surgeries. In comparison with other syndromic craniosynostosis types, Apert syndrome less frequently requires a VP shunt or treatment for a Chiari malformation.

Indexed as

Apert syndromeCraniosynostosisFronto-orbital advancementHydrocephalusMonobloc advancement

Identifiers

PMID33194294
PMCPMC7655990

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