J Korean Soc Plast Reconstr Surg.  1999 Sep;26(5):874-878.

Brachycephaly with Epileptic Convulsion :A Case for Total Cranial Remoeling

• Kim HT
• Kim KM
• Kim YO
• Shin DJ

Abstract

Craniosysostosis is a congenital anomaly which should be corrected at an early age. The correction should be both for shape as well as to assure normal growth of the brain. In the past, many patients of craniosysostosis underwent corrective suturectomy only for the purpose of removing constructive forces on the brain. However, recurrence is frequent and further deformity in the shape of the skull and face often develop. The particular patient in this article had undergone a simple suturectomy in the neurosurgery department. For 12 years, he had suffered from not only the deformed shape of the skull but also from medical refractory epileptic convulsions. Therefore, the patient underwent total cranial remodeling for correction of a deformed forehead and skull following correction of the bone contour. Unexpectedly, the epileptic convulsions of the patient markedly improved with the new shape. Based upon these results, the authors suggest that secondary total cranial remodeling can improve the convulsions by affecting the epileptic focus which may have been caused by previous operational scars on the dura.

MeSH Terms

Brain
Cicatrix
Congenital Abnormalities
Craniosynostoses*
Forehead
Humans
Neurosurgery
Recurrence
Seizures*
Skull