[Fate of patients after surgical treatment of premature closure of cranial sutures].
From 1954 to 1971, 69 operations in patients with crs, resulting in relieving the intracranial hypertension symptoms, were performed. The patients were aged 1-34 years. In 1989, i.e. 20-29 years after the operation (mean 22.8 years), 14 patients were submitted again for a neurological, neuropsychological, EEG and brain CT check-up. The patients were divided into 3 groups: I gr. (3 patients)--with negligible disorders of attention and memory, without neurological changes in the EEG and CT--in a good social and occupational status. II gr. (4 patients)--with slight headaches, with discrete neurological and neuropsychological symptoms, slight generalized changes with the moderate burst activity in EEG, signs of hydrocephalus in CT scan. III. gr (7 patients)--with seizures, deficit symptoms, some with symptoms of mental impairment, generalized epileptic changes in EEG, signs of cortical and subcortical atrophy in CT scan. In this group some patients did not work and had no families. We have found that the frequency of epileptic seizures in the crs patients is higher, and their social and occupational status is worse.
Gościński
I
I
Kliniki Neurochirurgicznej Instytutu Neurologii AM, Krakowie.
Partyk
A
A
Betlej
M
M
Kuśmiderski
J
J
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology*; D003398:Craniosynostoses / Q000601:surgery*; D004569:Electroencephalography; D004827:Epilepsy / Q000175:diagnosis / Q000209:etiology*; D005500:Follow-Up Studies; D006261:Headache / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007223:Infant; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000523:psychology; D013997:Time Factors; D014057:Tomography, X-Ray Computed
Losy chorych po przebytym leczeniu operacyjnym z powodu przedwczesnego zarośniecia szwów czaszki.