Superior sagittal sinus thrombosis as a treatment complication of nonsyndromic Kleeblattschädel.
A patient with nonsyndromic Kleeblattschädel, who underwent a craniotomy involving a constricting calvarial ring and frontal calvarial remodeling, developed a superior sagittal sinus thrombosis. The superior sagittal sinus venous outflow was obstructed as a consequence of the rapid brain expansion, along with a conflict of a remaining posterior bone crest. A successful second operation was performed to remove the posterior bone crest and facilitate the venous outflow. Meticulous preoperative planning should be carried out before addressing this complex craniofacial deformity.
From the *Division of Pediatric Neurosurgery, Department of Neurology, School of Medical Sciences, State University of Campinas (UNICAMP); and †Institute of Plastic and Craniofacial Surgery, SOBRAPAR Hospital, Campinas, São Paulo, Brazil.
Enrico
E
Ghizoni
Cesar Augusto
CA
Raposo-Amaral
Roger
R
Mathias
Rafael
R
Denadai
Cassio Eduardo
CE
Raposo-Amaral
D003398:Craniosynostoses / Q000175:diagnosis / Q000601:surgery*; D056424:Decompressive Craniectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007223:Infant; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D012086:Reoperation; D020225:Sagittal Sinus Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D054063:Superior Sagittal Sinus / Q000601:surgery; D014057:Tomography, X-Ray Computed