Craniosynostosis Single Suture and ICP

In a study “Intracranial hypertension after surgical correction for craniosynostosis: a systematic review” by Eisha A. Christian, Md,1 Thomas A. Imahiyerobo, Md,2 Swathi Nallapa, bA,1 Mark urata, Md, ddS,2 J. Gordon Mccomb, Md,1 and Mark d. Krieger, Md1

*Intracranial hypertention

After reviewing seven various studies that documented postoperative IH in a pediatric craniosynostosis population that included more than 700 cases. Reports of elevated ICP after surgi­cal intervention have been increasing over time and ap­pear to be due to improved and additional screening tech­niques, such as routine annual funduscopic examination and neuroimaging.

In their conclusion they do indicate that the numbers are most likely under reported.

Lack of papilledema does not guarantee normal ICP.

The importance of postoperative suveillance for IH screening is unquestionable and there are still a number of ongoing studies.  Single suture Craniosynostosis children pre-operatively and post-operatively should be screened throughout the years.

In another study: Pediatr Neurosurg 1995;22:235–240
(DOI:10.1159/000120907)
Intracranial Pressure in Single-Suture Craniosynostosis 

We conclude that intracranial hypertension occurs in a significant proportion of children with single-suture craniosynostosis and suggest that this factor should be borne in mind during the initial assessment of these children so as to enable timely intervention where required and appropriate counselling of parents.