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alliedacademies
August 14-16, 2017 | Toronto, Canada
BRAIN DISORDERS AND DEMENTIA CARE
4th International Conference on
Neurosurg, an open access journal
ISSN: 2471-9633
Background: Craniosynostosis is the premature closure of
calvarial sutures. Nearly affect 0.4 of 1000 persons. There is
a chance of increased intracranial pressure with one suture
synostosis and the risk increased when multiple suture
is involved. So early diagnosis is crucial to help in early
management to avoid expected secondary neural insult.
Aim: to get an early and precise method for diagnosis of
craniosynostosis and so early and rapid treatment with
prevention of secondary neural insult.
Methodology: This is a retrospective study of 3D CT volume
rendering technique of thirty patients, diagnosed as non-
syndromic primary craniosynostosis Ectocranial skull suture
closure grading system applied to 3D skull volume rendering
technique of the studied group as it stimulate real time one.
By this mean together with other clinical evidence early and
precise diagnosis of craniosynostosis can be elicited.
Results: The studied group are 30 patients were operated
by early suture release surgery endoscopic assisted
suturectomy in neurosurgery department in Shebin Elkom
Teaching hospital (2011-2016). 16 females 14 males
all have primary craniosynostosis. 9 Brachycephaly,7
scaphocephally,4 anterior plagiocephaly,4 trigonocephaly,2
posterior plagiocephaly and 4 oxycephaly. Of all patients 38
sutures was affected. After application of proposed grading
10 sutures G1, 16 sutures G2 and 12 sutures G3.
Conclusion: Application of ectocranial skull suture closure
grading system to 3D skull in early cases of primary
craniosynostosis will help in precise diagnosis and surgical
decision, as it demonstrate the degree of affected suture
from single bony bridge that restrict or arrest suture growth
in mild cases to completely obliterated one.
Speaker Biography
Ramadan Galal Kamal Shamseldien, Neurosurgery MD. Lecturer of neurosurgery,
Shebin Elkom Teaching Hospital, Egypt. He is a member of Egyptian Society of
Neurological Surgeons (ESNS), Egyptian Spine Association (ESA), and Middle East
Spine Society (MESS). He was born on 1977 in Egypt. He was graduated from Faculty
of Medicine, Alazhar University in 2001. He underwent neurosurgery residency
training in Mansoura international Hospital. He has completed his MD neurosurgery at
Alazhar University, Egypt in 2013. He is well trained to perform all the standard brain,
spinal, and peripheral nerve surgeries with special interest in pediatric surgery and
spinal fixation. He published numerous national and international papers concerning
Metastatic brain tumors, Endoscopic suturectomy, Posterior craniocervical fixation,
Spontaneous ICH (STICH II study), and Grading system for cranial suture closure.
e:
Grading system for cranial suture closure in craniosynostosis
Ramadan Galal Kamal Shamseldien
Shebin Al Kom Teaching Hospital, Mansoura
Ramadan Galal Kamal Shamseldien, Neurosurg 2017, 2:2
DOI: 10.21767/2471-9633-C1-005