Aggressive cranial vault decompression for cranial hyperostosis

Technical case report of two cases

J. Mocco, Ricardo J Komotar, Brad E. Zacharia, Neil A. Feldstein, Jeffrey N. Bruce, Charles J. Hodge, Jack P. Rock, Joel D. MacDonald

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

OBJECTIVE AND IMPORTANCE: Camurati-Engelmann's disease, also known as progressive diaphysial dysplasia, is a disorder of the bone metabolism. Neurological manifestations of progressive diaphysial dysplasia include cranial nerve dysfunction, generalized weakness, cerebellar herniation, and increased intracranial pressure. In the past, surgical intervention has been of limited and temporary benefit. We present two patients with cranial hyperostosis secondary to Camurati-Engelmann's disease who were treated successfully with a single surgery involving a combination of multiple craniotomies for cranial vault decompression. CLINICAL PRESENTATION: Two patients presented with signs and symptoms of increased intracranial pressure secondary to Camurati-Engelmann's syndrome. Radiological workup revealed marked cranial hyperostosis. INTERVENTION: The patients underwent aggressive cranial vault decompression. Multiple craniotomies were performed, and the inner table was then drilled down until the bone was 1 cm thick. CONCLUSION: Effective surgical options are needed for clinically significant cranial hyperostosis. In an effort to further define operative management in these patients, we describe a single, aggressive surgical procedure that may be used for successful cranial decompression.

Original languageEnglish
JournalNeurosurgery
Volume57
Issue number1 SUPPL.
DOIs
StatePublished - Jul 1 2005
Externally publishedYes

Fingerprint

Hyperostosis
Camurati-Engelmann Syndrome
Decompression
Craniotomy
Intracranial Pressure
Encephalocele
Bone and Bones
Cranial Nerves
Neurologic Manifestations
Signs and Symptoms

Keywords

  • Camurati-Engelmann's disease
  • Cranial hyperostosis
  • Cranium
  • Decompression
  • Progressive diaphysial dysplasia

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Mocco, J., Komotar, R. J., Zacharia, B. E., Feldstein, N. A., Bruce, J. N., Hodge, C. J., ... MacDonald, J. D. (2005). Aggressive cranial vault decompression for cranial hyperostosis: Technical case report of two cases. Neurosurgery, 57(1 SUPPL.). https://doi.org/10.1227/01.NEU.0000163686.75095.B8

Aggressive cranial vault decompression for cranial hyperostosis : Technical case report of two cases. / Mocco, J.; Komotar, Ricardo J; Zacharia, Brad E.; Feldstein, Neil A.; Bruce, Jeffrey N.; Hodge, Charles J.; Rock, Jack P.; MacDonald, Joel D.

In: Neurosurgery, Vol. 57, No. 1 SUPPL., 01.07.2005.

Research output: Contribution to journalArticle

Mocco, J, Komotar, RJ, Zacharia, BE, Feldstein, NA, Bruce, JN, Hodge, CJ, Rock, JP & MacDonald, JD 2005, 'Aggressive cranial vault decompression for cranial hyperostosis: Technical case report of two cases', Neurosurgery, vol. 57, no. 1 SUPPL.. https://doi.org/10.1227/01.NEU.0000163686.75095.B8
Mocco, J. ; Komotar, Ricardo J ; Zacharia, Brad E. ; Feldstein, Neil A. ; Bruce, Jeffrey N. ; Hodge, Charles J. ; Rock, Jack P. ; MacDonald, Joel D. / Aggressive cranial vault decompression for cranial hyperostosis : Technical case report of two cases. In: Neurosurgery. 2005 ; Vol. 57, No. 1 SUPPL.
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