gms | German Medical Science

58. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

26. bis 29.04.2007, Leipzig

Intracranial pressure in scaphocephaly: lumbar pressure and TCD findings

Intrakranieller Druck bei Scaphocephalie: lumbaler Druck und TCD-Befunde

Meeting Abstract

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  • corresponding author Daniel Hořínek - Department of Neurosurgery, Central Military Hospital, 1st Medical School, Charles University, Prague
  • D. Hoza - Department of Pediatric Neurosurgery, University Hospital Motol, Prague
  • M. Tichý - Department of Pediatric Neurosurgery, University Hospital Motol, Prague

Deutsche Gesellschaft für Neurochirurgie. 58. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC). Leipzig, 26.-29.04.2007. Düsseldorf: German Medical Science GMS Publishing House; 2007. DocP 104

The electronic version of this article is the complete one and can be found online at:

Published: April 11, 2007

© 2007 Hořínek et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Objective: Chronic intracranial hypertension is present in up to 20% of children with non-syndromal craniosynostosis. Our aim was to assess the relationship between the lumbar pressure values and blood flow velocities assessed by Transcranial Doppler sonography (TCD) in children with scaphocephaly.

Methods: In 22 children with scaphocephaly, the lumbar pressure was assessed by manometer preoperatively and the TCD examination was performed. TCD was repeated on day 7 or 8 after the surgery. Index of pulsatility (PI) and resistance index (RI) were obtained and compared pre- and postoperatively. The correlation of TCD indexes and lumbar pressure values was assessed.

Results: In 17 children, the lumbar pressure values were higher than normal, in a subgroup of older children (>6 months) the LP pressure values were significantly higher (p<0,05). The difference in PI and RI indexes was not significant. No significant correlation was found between TCD parameters and intracranial pressure.

Conclusions: In patients with scaphocephaly, there is higher prevalence of raised lumbar pressure; the risk of intracranial hypertension development may be increased in older children. TCD is not useful in the diagnosis of intracranial hypertension in craniosynostosis.

This study was supported by IGA NR/8264–3.