Bilateral endoscopic craniectomies in the treatment of an infant with Apert syndrome: Case report

David F. Jimenez, Constance M. Barone

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Patients with Apert syndrome commonly present with ocular proptosis due to bilateral coronal craniosynostosis and midfacial hypoplasia. Severe proptosis can cause visual compromise and damage, which is most commonly treated with bilateral orbital frontal advancement. The authors present the case of a patient who was treated at 8 weeks of age with endoscope-assisted bilateral coronal craniectomies followed by treatment with a custom-made postoperative cranial orthosis. The patient underwent the procedure without any complications. Over the ensuing months, the patient's proptosis corrected, the forehead and orbital rims advanced without the need for an orbital frontal advancement and craniotomies. This approach may provide an alternative treatment modality for these patients.

Original languageEnglish (US)
Pages (from-to)310-314
Number of pages5
JournalJournal of Neurosurgery: Pediatrics
Volume10
Issue number4
DOIs
StatePublished - Oct 1 2012

Keywords

  • Apert syndrome
  • Congenital deformity
  • Coronal craniosynostosis
  • Cranial orthosis
  • Craniectomy
  • Endoscopy

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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