1. Management of Pre-existing Ventriculoperitoneal Shunt in Posterior Vault Distraction for Lambdoid Craniosynostosis: A Case Report and Technical Note
- Author
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Meena Thatikunta, Ian Mutchnick, Mohammed Nuru, Luke Pearson, and Scott J. Rapp
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Posterior fossa ,Neurosurgery ,chiari i malformation ,030204 cardiovascular system & hematology ,Craniosynostosis ,03 medical and health sciences ,0302 clinical medicine ,Pediatric Surgery ,Chiari I malformation ,Distraction ,lambdoid craniosynostosis ,medicine ,business.industry ,posterior vault distraction ,General Engineering ,Technical note ,Plastic Surgery ,medicine.disease ,Lambdoid craniosynostosis ,Surgery ,Shunt (medical) ,Distraction osteogenesis ,business ,030217 neurology & neurosurgery ,vp shunt - Abstract
Posterior vault distraction osteogenesis (DO) is an emerging treatment option for craniosynostosis. Operative nuances detailing surgical management are being described with increasing use and experience. In this article, we discuss the surgical management of an 8-month-old male with a ventriculoperitoneal shunt (VPS) diagnosed with bilateral lambdoid craniosynostosis and Chiari I malformation. The patient underwent successful bilateral posterior fossa DO without surgical re-implantation of the shunt. Pre- and post-operative imaging confirmed no migration of the VPS. Intracranial volume increased by 20.1% and posterior fossa volume increased by 39.9%. Our experience illustrates that posterior vault DO can be done safely in the setting of a parieto-occipital VPS, in a single operative setting, without the need of additional procedures.
- Published
- 2021