title: Reduction cranioplasty for macrocephaly caused by giant occipital cystic lesion.
abstract: Reduction cranioplasty for macrocephaly improves patients' quality of life both functionally and aesthetically. However, it is indicated for only a small number of patients because of the risks of complications. Thus, it is rarely performed, and not many reports have been published. In Dandy-Walker syndrome, there is often a posterior fossa cyst continuous with the fourth ventricle. We report here a case of scaphocephalic macrocephaly because of such a cystic lesion. The patient underwent a single-stage surgery with plication of the cyst wall and posterior reduction cranioplasty. This procedure achieved good results.
authors.affiliation: From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Chiba University, Faculty of Medicine, Chiba; and Departments of †Neurosurgery and ‡Plastic and Reconstructive Surgery, St Mary's Hospital, Fukuoka, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Mitsukawa
authors.forename: Shoko
authors.initials: S
authors.lastname: Shimokawa
authors.forename: Atsuomi
authors.initials: A
authors.lastname: Saiga
authors.forename: Kaneshige
authors.initials: K
authors.lastname: Satoh
mesh_terms: D020863:Central Nervous System Cysts / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D002675:Child, Preschool; D003388:Cranial Fossa, Posterior / Q000473:pathology / Q000601:surgery; D003398:Craniosynostoses / Q000175:diagnosis / Q000523:psychology / Q000601:surgery; D003399:Craniotomy / Q000523:psychology; D003616:Dandy-Walker Syndrome / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D058627:Megalencephaly / Q000175:diagnosis / Q000523:psychology / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis; D011788:Quality of Life / Q000523:psychology; D014057:Tomography, X-Ray Computed