頭蓋骨縫合早期癒合症におけるVBMを用いた脳脊髄液灌流障害の定量的評価
「要旨」頭蓋骨縫合早期癒合症 (CS) において頭蓋内圧 (ICP) の亢進はよく知られているが, 脳脊髄液 (CSF) 灌流障害についての報告は少ない. この研究は, VBMを用いて, CS患者の術前後の頭蓋内容積 (灰白質+白質+CSF) に対するCSF体積を解析した. 術後におけるCSFの占める体積は, 術前と比較して有意に低い結果を得られた. CSにおいて, 頭蓋形成術はCSF灌流障害を改善させている可能性が示唆された....
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| Published in | 小児の脳神経 Vol. 48; no. 3; pp. 256 - 260 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本小児神経外科学会
2023
日本小児神経外科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-8023 2435-824X |
| DOI | 10.34544/jspn.48.3_256 |
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| Abstract | 「要旨」頭蓋骨縫合早期癒合症 (CS) において頭蓋内圧 (ICP) の亢進はよく知られているが, 脳脊髄液 (CSF) 灌流障害についての報告は少ない. この研究は, VBMを用いて, CS患者の術前後の頭蓋内容積 (灰白質+白質+CSF) に対するCSF体積を解析した. 術後におけるCSFの占める体積は, 術前と比較して有意に低い結果を得られた. CSにおいて, 頭蓋形成術はCSF灌流障害を改善させている可能性が示唆された. |
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| AbstractList | 「要旨」頭蓋骨縫合早期癒合症 (CS) において頭蓋内圧 (ICP) の亢進はよく知られているが, 脳脊髄液 (CSF) 灌流障害についての報告は少ない. この研究は, VBMを用いて, CS患者の術前後の頭蓋内容積 (灰白質+白質+CSF) に対するCSF体積を解析した. 術後におけるCSFの占める体積は, 術前と比較して有意に低い結果を得られた. CSにおいて, 頭蓋形成術はCSF灌流障害を改善させている可能性が示唆された. 頭蓋骨縫合早期癒合症（CS）において頭蓋内圧（ICP）の亢進はよく知られているが，脳脊髄液（CSF）灌流障害についての報告は少ない．この研究は，VBMを用いて，CS患者の術前後の頭蓋内容積（灰白質＋白質＋CSF）に対するCSF体積を解析した．術後におけるCSFの占める体積は，術前と比較して有意に低い結果を得られた．CSにおいて，頭蓋形成術はCSF灌流障害を改善させている可能性が示唆された． |
| Author | 稲永, 親憲 中戸川, 裕一 宮川, 正 山添, 知宏 山本, 貴道 川路, 博史 |
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| References | [14] Renier D: Intracranial pressure in craniosynostosis: pre and postoperative recordings-correlation with functional results. Persing JA, Edgerton MT, Jane J (eds): Scientific foundations and surgical treatment of craniosynostosis. Baltimore, Williams and Wilkins, 1989, pp 263-269. [7] Francis PM, Beals S, Rekate HL, Pittman HW, Manwaring K, Reiff J: Chronic tonsillar herniation and Crouzon’s syndrome. Pediatr Neurosurg 18: 202-206, 1992. [2] Bristol RE, Lekovic GP, Rekate HL: The effects of craniosynostosis on the brain with respect to intracranial pressure. Semin Pediatr Neurol 11: 262-267, 2004. [16] Sante-Rose C, Lacombe J, Pierre-Kahn A, Renier D, Hirsch J-F: Intracranial venous sinus hypertension: cause or consequence of hydrocephalus in infants? J Neurosurg 60: 727-736, 1984. [1] Badie B, Mendoza D, Batzdorf U: Posterior fossa volume and response to suboccipital decompression in patients with Chiari I malformation. Neurosurgery 37: 214-218, 1995. [11] Matsuzawa J, Matsui M, Konishi T, Noguchi K, Gur R, Bilker W, Miyawaki T: Age-related volumetric changes of brain grey and white matter in healthy infants and children. Cereb Cortex 11: 335-342, 2001. [6] Eide PK: The relationship between intracranial pressure and size of cerebral ventricles assessed by computed tomography. Acta Neurochir 145: 171-179, 2003. [13] Nonaka Y, Oi S, Miyawaki T, Shinoda A, Kurihara K: Indication for and surgical outcomes of the distraction method in various types of craniosynostosis. Childs Nerv Syst 20: 702-709, 2004. [24] Thompson DNP, Malcolm GP, Jones BM, Harkness WJ, Hayward RD: Intracranial pressure in single suture craniosynostosis. Pediatr Neurosurg 22: 235-240, 1995. [10] Inagaki T, Kyotoku S, Seno T, Kawaguchi T, Yamahara T, Oshige H, Yamanouchi Y, Kawamoto K: The intracranial pressure of the patients with mild form of craniosynostosis. Childs Nerv Syst 23: 1455-1459, 2007. [9] Iliff JJ, Wang M, Liao Y, Plogg BA, Peng W, Gundersen GA, Benveniste H, Vates GE, Deane R, Goldman SA, et al: A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid beta. Sci Transl Med. 4: 147ra111, 2012. [12] Mihorat T, Chou M, Trinidad E, Kula R, Mandell M, Wolpert C, Speer M: Chiari I malformation redefined: clinical and radiological findings for 364 symptomatic patients. Neurosurgery 44: 1005-1017, 2003. [23] Thompson DNP, Hayward RD: Craniosynostosis-pathophysiology, clinical presentation and investigation. Choux M, et al (eds): Pediatric Neurosurgery, Churchil-Livingstone, 1999, pp 275-290. [3] Chadduck WM, Chadduck JB, Boop FA: The subarachnoid spaces in craniosynostosis. Neurosurgery 30: 867-871, 1992. [17] Siddiqi S, Posnick JC, Buncic R, Humphreys RP, Hoffman HJ, Drake JM, Rutka JT: The detection and management of intracranial hypertension after initial suture release and decompression for craniofacial dysostosis syndromes. Neurosurgery 36: 703-709, 1995. [21] Thompson DNP, Harkness W, Jones B, Gonzalez S, Andar U, Hayward R: Subdural intracranial pressure monitoring in craniosynostosis: its role in surgical management. Childs Nerv Syst 11: 269-275, 1995. [5] Di Rocco C, Frassanito P, Massimi L, Peraio S: Hydrocephalus and Chiari type I malformation. Childs Nerv Syst 27: 1653-1664, 2011. [20] Taylor WJ, Hayward RD, Lasjaunias P, Britto JA, Thompson DNP, Jones BM, Evans RD: Enigma of raised intracranial pressure in patients with complex craniosynostosis: the role of abnormal intracranial venous drainage. J Neurosurg 94: 377-385, 2001. [15] Renier D, Sainte-Rose C, Marchac D, Hirsch J: Intracranial pressure in craniosynostosis. J Neurosurg 57: 370-377, 1982. [19] Tamburrini G, Caldarelli M, Massimi L, Santini P, Di Rocco C: Intracranial pressure monitoring in children with single suture and complex craniosynostosis: a review. Childs Nerv Syst 21: 913-921, 2005. [22] Thompson DNP, Harkness W, Jones BM, Hayward RD: Aetiology of herniation of the hindbrain in craniosynostosis. An investigation incorporating intracranial pressure monitoring and magnetic resonance imaging. Pediatr Neurosurg 26: 288-295, 1997. [4] Cinalli G, Sainte-Rose C, Kollar EM, Zerah M, Brunelle F, Chumas P, Arnaud E, Marchac D, Pierre-Kahn A, Renier D: Hydrocephalus and craniosynostosis. J Neurosurg 88: 209-214, 1998. [25] Tubbs RS, Lyerly MJ, Loukas M, Shoja MM, Oakes WJ: The pediatric Chiari I malformation: a review. Childs Nerv Syst 23: 1239-1250, 2007. [26] Tuite GF, Chong WK, Evanson J, Narita A, Taylor D, Harkness W, Jones B, Hayward R: The effectiveness of papilledema as an indicator of raised intracranial pressure in children with craniosynostosis. Neurosurgery 38: 272-278, 1996. [8] Hayward R: Venous hypertension and craniosynostosis. Childs Nerv Syst 21: 880-888, 2005. [18] Steinruecke M, Tiefenbach J, Park JJ, Kaliaperumal C: Role of the glymphatic system in idiopathic intracranial hypertension. Clin Neurol Neurosurg. 222: 107446, 2022. |
| References_xml | – reference: [12] Mihorat T, Chou M, Trinidad E, Kula R, Mandell M, Wolpert C, Speer M: Chiari I malformation redefined: clinical and radiological findings for 364 symptomatic patients. Neurosurgery 44: 1005-1017, 2003. – reference: [1] Badie B, Mendoza D, Batzdorf U: Posterior fossa volume and response to suboccipital decompression in patients with Chiari I malformation. Neurosurgery 37: 214-218, 1995. – reference: [9] Iliff JJ, Wang M, Liao Y, Plogg BA, Peng W, Gundersen GA, Benveniste H, Vates GE, Deane R, Goldman SA, et al: A paravascular pathway facilitates CSF flow through the brain parenchyma and the clearance of interstitial solutes, including amyloid beta. Sci Transl Med. 4: 147ra111, 2012. – reference: [6] Eide PK: The relationship between intracranial pressure and size of cerebral ventricles assessed by computed tomography. Acta Neurochir 145: 171-179, 2003. – reference: [19] Tamburrini G, Caldarelli M, Massimi L, Santini P, Di Rocco C: Intracranial pressure monitoring in children with single suture and complex craniosynostosis: a review. Childs Nerv Syst 21: 913-921, 2005. – reference: [5] Di Rocco C, Frassanito P, Massimi L, Peraio S: Hydrocephalus and Chiari type I malformation. Childs Nerv Syst 27: 1653-1664, 2011. – reference: [22] Thompson DNP, Harkness W, Jones BM, Hayward RD: Aetiology of herniation of the hindbrain in craniosynostosis. An investigation incorporating intracranial pressure monitoring and magnetic resonance imaging. Pediatr Neurosurg 26: 288-295, 1997. – reference: [26] Tuite GF, Chong WK, Evanson J, Narita A, Taylor D, Harkness W, Jones B, Hayward R: The effectiveness of papilledema as an indicator of raised intracranial pressure in children with craniosynostosis. Neurosurgery 38: 272-278, 1996. – reference: [3] Chadduck WM, Chadduck JB, Boop FA: The subarachnoid spaces in craniosynostosis. Neurosurgery 30: 867-871, 1992. – reference: [20] Taylor WJ, Hayward RD, Lasjaunias P, Britto JA, Thompson DNP, Jones BM, Evans RD: Enigma of raised intracranial pressure in patients with complex craniosynostosis: the role of abnormal intracranial venous drainage. J Neurosurg 94: 377-385, 2001. – reference: [13] Nonaka Y, Oi S, Miyawaki T, Shinoda A, Kurihara K: Indication for and surgical outcomes of the distraction method in various types of craniosynostosis. Childs Nerv Syst 20: 702-709, 2004. – reference: [18] Steinruecke M, Tiefenbach J, Park JJ, Kaliaperumal C: Role of the glymphatic system in idiopathic intracranial hypertension. Clin Neurol Neurosurg. 222: 107446, 2022. – reference: [25] Tubbs RS, Lyerly MJ, Loukas M, Shoja MM, Oakes WJ: The pediatric Chiari I malformation: a review. Childs Nerv Syst 23: 1239-1250, 2007. – reference: [10] Inagaki T, Kyotoku S, Seno T, Kawaguchi T, Yamahara T, Oshige H, Yamanouchi Y, Kawamoto K: The intracranial pressure of the patients with mild form of craniosynostosis. Childs Nerv Syst 23: 1455-1459, 2007. – reference: [24] Thompson DNP, Malcolm GP, Jones BM, Harkness WJ, Hayward RD: Intracranial pressure in single suture craniosynostosis. Pediatr Neurosurg 22: 235-240, 1995. – reference: [4] Cinalli G, Sainte-Rose C, Kollar EM, Zerah M, Brunelle F, Chumas P, Arnaud E, Marchac D, Pierre-Kahn A, Renier D: Hydrocephalus and craniosynostosis. J Neurosurg 88: 209-214, 1998. – reference: [7] Francis PM, Beals S, Rekate HL, Pittman HW, Manwaring K, Reiff J: Chronic tonsillar herniation and Crouzon’s syndrome. Pediatr Neurosurg 18: 202-206, 1992. – reference: [17] Siddiqi S, Posnick JC, Buncic R, Humphreys RP, Hoffman HJ, Drake JM, Rutka JT: The detection and management of intracranial hypertension after initial suture release and decompression for craniofacial dysostosis syndromes. Neurosurgery 36: 703-709, 1995. – reference: [23] Thompson DNP, Hayward RD: Craniosynostosis-pathophysiology, clinical presentation and investigation. Choux M, et al (eds): Pediatric Neurosurgery, Churchil-Livingstone, 1999, pp 275-290. – reference: [15] Renier D, Sainte-Rose C, Marchac D, Hirsch J: Intracranial pressure in craniosynostosis. J Neurosurg 57: 370-377, 1982. – reference: [2] Bristol RE, Lekovic GP, Rekate HL: The effects of craniosynostosis on the brain with respect to intracranial pressure. Semin Pediatr Neurol 11: 262-267, 2004. – reference: [11] Matsuzawa J, Matsui M, Konishi T, Noguchi K, Gur R, Bilker W, Miyawaki T: Age-related volumetric changes of brain grey and white matter in healthy infants and children. Cereb Cortex 11: 335-342, 2001. – reference: [14] Renier D: Intracranial pressure in craniosynostosis: pre and postoperative recordings-correlation with functional results. Persing JA, Edgerton MT, Jane J (eds): Scientific foundations and surgical treatment of craniosynostosis. Baltimore, Williams and Wilkins, 1989, pp 263-269. – reference: [21] Thompson DNP, Harkness W, Jones B, Gonzalez S, Andar U, Hayward R: Subdural intracranial pressure monitoring in craniosynostosis: its role in surgical management. Childs Nerv Syst 11: 269-275, 1995. – reference: [8] Hayward R: Venous hypertension and craniosynostosis. Childs Nerv Syst 21: 880-888, 2005. – reference: [16] Sante-Rose C, Lacombe J, Pierre-Kahn A, Renier D, Hirsch J-F: Intracranial venous sinus hypertension: cause or consequence of hydrocephalus in infants? J Neurosurg 60: 727-736, 1984. |
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| Title | 頭蓋骨縫合早期癒合症におけるVBMを用いた脳脊髄液灌流障害の定量的評価 |
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