Skull stenosis refers to premature closure of cranial suture in infants, which limits skull expansion and causes skull deformation and brain dysfunction. It is also called premature closure or ossification of cranial suture. The main clinical manifestations are skull deformation, increased intracranial pressure, mental retardation and eye symptoms. The incidence of this disease has no difference between regions and sexes, and it is mainly treated by craniosuture reconstruction. The prognosis is mostly good, and the surgical effect is better within 6 months after birth, and the later the operation, the worse the effect.
Clinical manifestations 1. Cranial malformations such as navicular head, oblique head, short head or flat head and pointed head.
2. Manifestations of increased intracranial pressure: restlessness, vomiting, etc. Bilateral edema.
3. Mental retardation: mental retardation and slow response.
4. Eye symptoms: exophthalmos, limited activity, lateral displacement, and separation strabismus.
The diagnosis is based on 1. After the child was born, there were head deformation, increased intracranial pressure, mental retardation and dissociative strabismus.
2. The skull X-ray shows that the cranial suture is not obvious, and the bone density of the cranial suture increases correspondingly, and the indentation of the gyrus increases.
4 treatment principles 1. Artificial cranial suture reconstruction during brain development has a good effect within 6 months after birth.
2. Prevention of infection, neurotrophic and symptomatic treatment.
5 medication principle 1. Pay attention to the balance of electrolytes and body fluids and replenish blood loss.
2. Use antibiotics as appropriate after operation to prevent infection; Using neurotrophic drugs to promote the rehabilitation of brain cells.
3. symptomatic treatment.
6. Auxiliary examination 1. Combined with the medical history, the head X-ray can be diagnosed.
2. If necessary, you can choose brain computed tomography or magnetic resonance imaging to understand the intracranial situation and differential diagnosis.
3. The basic examination can be used repeatedly during the treatment.
7 efficacy evaluation 1. Cure: the symptoms of intracranial hypertension disappeared, exophthalmos and eye movement improved, and neurological function recovered.
2. Improvement: the symptoms of intracranial hypertension are relieved and the neurological symptoms are stable.