The clinical significance of bilateral synostosis of the lambdoid suture and the usefulness of its treatment.
Extended craniectomy has been employed in 148 +/- 4 month old infants with bilateral synostosis of lambdoid suture. Intraoperatively the ICP was less than 180 mm H2O in 6, 180-200 in 1, greater than 200 in 7. 18 +/- 10 months following surgery clinical signs as psychomotor retardation and so forth were present in 4 compared to 11 patients preoperatively. With 1 exception there was a distinct remodelling of neurocranium and an almost complete ossification of the operative site.
D002508:Cephalometry; D002657:Child Development; D003393:Cranial Sutures / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008607:Intellectual Disability / Q000209:etiology; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D012886:Skull / Q000601:surgery*; D013580:Synostosis / Q000175:diagnosis / Q000601:surgery*