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While studying skull base changes in craniosynostosis, it became apparent that there is a lack of reference studies quantifying the changes of three-dimensional (3D) parameters of the normal skull base throughout childhood. Using advanced 3D visualisation techniques, 34 points of the skull base were identified on MRI scans of 66 normal children, aged 1(More)
OBJECT The goal of this study was to construct a model of normal changes in intracranial volume occurring throughout childhood from age 7 days to 15 years. METHODS Using the technique of segmentation on magnetic resonance images obtained in healthy children, intracranial volume was measured and plotted against age. CONCLUSIONS Intracranial volume in the(More)
The case of a malignant intraventricular meningioma in a 6-year-old child is reported. He presented with symptoms of raised intracranial pressure and computed tomography scan revealed an enhancing tumor at the region of the septum pellucidum. After surgical excision, histology showed appearances of meningioma with atypical features indicating malignant(More)
OBJECT Surveys of cerebrospinal fluid (CSF) shunts that have been removed from patients have shown that even when the ventricular catheter is the cause of the obstruction, the valve may be obstructed or underperforming. The aim of this pilot study was to investigate the degradation of shunt valve structure over time due to the deposition of debris. The(More)
Problems may still occur for patients treated for infantile hydrocephalus who graduate to become adults, including unsatisfactory follow-up. We have continued the supervision in an adult institution of 70 children originally treated in the Birmingham Children's Hospital between 1974 and 1978. In these patients, 33 (16.4%) of a total of 201 shunt revision(More)
OBJECTIVE The objective was to assess the outcome and complications associated with different cranioplasty implant materials in children. MATERIALS AND METHODS A retrospective review was conducted of 28 consecutive cranioplasties carried out on 24 children between 1994 and 2001 (age range, 9 months to 15 years; minimum follow-up 18 months). The(More)
In children, spasticity is commonly seen in the context of cerebral palsy (CP), but also following head injury, cerebral infarct or other brain insults. CP is a wide term used to describe a constellation of symptoms that characterise the physical impairment of movement due to abnormal brain development. The management of spasticity is tailored according to(More)
The use of drains in the treatment of syringomyelia has a simple and immediate appeal and has been practiced widely since the report of Abbe and Coley over 100 years ago. Good short-term results have been claimed in the past, but long-term outcome is largely unknown. An experience in Birmingham, England is reviewed in which 73 patients who had had some form(More)
OBJECT Endoscopic third ventriculostomy (ETV) is an established treatment for hydrocephalus. Most studies focus on success rate, and complications are insufficiently documented. The aim of this study was to perform a systematic review of ETV complications. METHODS A Medline search discovered 34 series of ETV with detailed complications reports (17 series(More)
INTRODUCTION We compared the effect of early decompressive craniectomy (<24 h) vs non-operative treatment on the outcome of children with refractory intracranial hypertension after severe traumatic brain injury. MATERIAL AND METHODS We retrospectively reviewed 12 consecutive patients treated between 1999 and 2001 for refractory intracranial hypertension(More)