Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report
Abstract Background Severe macrocephaly can still be found in developing countries. This condition is usually caused by neglected hydrocephalus and can cause a lot of morbidities. Cranial vault reconstruction cranioplasty is the main treatment option for severe macrocephaly. Holoprosencephaly i...
Saved in:
id |
id-langga.127948 |
---|---|
record_format |
dspace |
spelling |
id-langga.1279482023-10-02T04:49:34Z https://repository.unair.ac.id/127948/ Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report Ahmad Data Dariansyah, - Wihasto Suryaningtyas, - Muhammad Arifin Parenrengi, Muhammad R5-920 Medicine (General) Abstract Background Severe macrocephaly can still be found in developing countries. This condition is usually caused by neglected hydrocephalus and can cause a lot of morbidities. Cranial vault reconstruction cranioplasty is the main treatment option for severe macrocephaly. Holoprosencephaly is often seen with features of microcephaly. Hydrocephalus should be considered as the main cause in HPE patients with features of macrocephaly. In this report, we present a rare case of cranial vault reduction cranioplasty procedure in patient with severe macrocephaly due to holoprosencephaly and subdural hygroma. Case description A 4-year-10-month-old Indonesian boy was admitted with head enlargement since birth. He had a history of VP shunt placement when he was 3 months old. But the condition was neglected. Preoperative head CT showed massive bilateral subdural hygroma that compressed brain parenchyma caudally. From the craniometric calculation, the occipital frontal circumference was 70.5 cm with prominent vertex expansion, the distance between nasion to inion was 11.91 cm and the vertical height was 25.59 cm. The preoperative cranial volume was 24.611 cc. The patient underwent subdural hygroma evacuation and cranial vault reduction cranioplasty. The postoperative cranial volume was 10.468 cc. Conclusion Subdural hygroma can be a rare cause of severe macrocephaly in holoprosencephaly patients. Cranial vault reduction cranioplasty and subdural hygroma evacuation is still the main treatment option. Our procedure successfully reduces significant cranial volume (57.46% volume reduction). Springer Nature Article PeerReviewed text en https://repository.unair.ac.id/127948/1/5.%20Jurnal%20Cranial%20Vault.pdf text id https://repository.unair.ac.id/127948/2/5.%20Karil%20%28%20Cranial%20Vault..%29.pdf text en https://repository.unair.ac.id/127948/3/05%20-%20Cranial%20vault%20reduction%20cranioplasty%20for%20severe%20macrocephaly%20due%20to%20holoprosencephaly%20and%20subdural%20hygroma%20a%20case%20report.pdf text en https://repository.unair.ac.id/127948/4/5.%20Coresponding%20%28Cranial%20Vault%29.pdf text en https://repository.unair.ac.id/127948/7/Cranial%20vault%20reduction%20cranioplasty%20for%20severe%20macrocephaly%20due%20to%20holoprosencephaly%20and%20subdural%20hygroma.pdf Ahmad Data Dariansyah, - and Wihasto Suryaningtyas, - and Muhammad Arifin Parenrengi, Muhammad Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report. Child's Nervous System. pp. 1-5. ISSN 0256-7040; E-ISSN: 1433-0350 https://link.springer.com/article/10.1007/s00381-023-06001-3 https://doi.org/10.1007/s00381-023-06001-3 |
institution |
Universitas Airlangga |
building |
Universitas Airlangga Library |
continent |
Asia |
country |
Indonesia Indonesia |
content_provider |
Universitas Airlangga Library |
collection |
UNAIR Repository |
language |
English Indonesian English English English |
topic |
R5-920 Medicine (General) |
spellingShingle |
R5-920 Medicine (General) Ahmad Data Dariansyah, - Wihasto Suryaningtyas, - Muhammad Arifin Parenrengi, Muhammad Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report |
description |
Abstract
Background
Severe macrocephaly can still be found in developing countries. This condition is usually caused by neglected hydrocephalus and can cause a lot of morbidities. Cranial vault reconstruction cranioplasty is the main treatment option for severe macrocephaly.
Holoprosencephaly is often seen with features of microcephaly. Hydrocephalus should be considered as the main cause in HPE patients with features of macrocephaly. In this report, we present a rare case of cranial vault reduction cranioplasty procedure in patient with severe macrocephaly due to holoprosencephaly and subdural hygroma.
Case description
A 4-year-10-month-old Indonesian boy was admitted with head enlargement since birth. He had a history of VP shunt placement when he was 3 months old. But the condition was neglected. Preoperative head CT showed massive bilateral subdural hygroma that compressed brain parenchyma caudally. From the craniometric calculation, the occipital frontal circumference was 70.5 cm with prominent vertex expansion, the distance between nasion to inion was 11.91 cm and the vertical height was 25.59 cm. The preoperative cranial volume was 24.611 cc. The patient underwent subdural hygroma evacuation and cranial vault reduction cranioplasty. The postoperative cranial volume was 10.468 cc.
Conclusion
Subdural hygroma can be a rare cause of severe macrocephaly in holoprosencephaly patients. Cranial vault reduction cranioplasty and subdural hygroma evacuation is still the main treatment option. Our procedure successfully reduces significant cranial volume (57.46% volume reduction). |
format |
Article PeerReviewed |
author |
Ahmad Data Dariansyah, - Wihasto Suryaningtyas, - Muhammad Arifin Parenrengi, Muhammad |
author_facet |
Ahmad Data Dariansyah, - Wihasto Suryaningtyas, - Muhammad Arifin Parenrengi, Muhammad |
author_sort |
Ahmad Data Dariansyah, - |
title |
Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report |
title_short |
Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report |
title_full |
Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report |
title_fullStr |
Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report |
title_full_unstemmed |
Cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report |
title_sort |
cranial vault reduction cranioplasty for severe macrocephaly due to holoprosencephaly and subdural hygroma: a case report |
publisher |
Springer Nature |
url |
https://repository.unair.ac.id/127948/1/5.%20Jurnal%20Cranial%20Vault.pdf https://repository.unair.ac.id/127948/2/5.%20Karil%20%28%20Cranial%20Vault..%29.pdf https://repository.unair.ac.id/127948/3/05%20-%20Cranial%20vault%20reduction%20cranioplasty%20for%20severe%20macrocephaly%20due%20to%20holoprosencephaly%20and%20subdural%20hygroma%20a%20case%20report.pdf https://repository.unair.ac.id/127948/4/5.%20Coresponding%20%28Cranial%20Vault%29.pdf https://repository.unair.ac.id/127948/7/Cranial%20vault%20reduction%20cranioplasty%20for%20severe%20macrocephaly%20due%20to%20holoprosencephaly%20and%20subdural%20hygroma.pdf https://repository.unair.ac.id/127948/ https://link.springer.com/article/10.1007/s00381-023-06001-3 https://doi.org/10.1007/s00381-023-06001-3 |
_version_ |
1779171794469519360 |