caa a22 4500 463179706 CHVBK 20180406164835.0 cr unu---uuuuu 170326e20071201xx s 000 0 eng 10.1007/s00381-007-0430-6 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0430-6 Significance of beaten copper appearance on skull radiographs in children with isolated sagittal synostosis [Elektronische Daten] [Deepak Agrawal, Paul Steinbok, D. Cochrane] Aims and Objectives: The significance of beaten copper appearance (BCA) on skull radiographs in children following surgery for isolated sagittal craniosynostosis has not been studied. This study was designed to look for any correlation between BCA and symptoms suggestive of intracranial hypertension in this group of patients. Materials and Methods: Forty-eight consecutive children, who were operated for isolated sagittal synostosis from1987 to 2000 and had postoperative skull radiographs, were included. Patients were divided into: (a) BCA group (n = 20), consisting of children who had beaten copper appearance on skull radiographs at last follow up, and (b) Non-BCA group (n = 28), consisting of children who did not have this finding. Records were reviewed to look for symptoms suggestive of intracranial hypertension, such as headache, head banging, and irritability. Results: Median age at surgery was 4.8months for BCA group and 4months for the non-BCA group. Follow up ranged from 4 to 156months with a mean of 36.2months. Total of 28.6% (n = 6) of the children with follow up radiographs done at ≤18months of age had BCA. The incidence of BCA increased to 83.3% in children with skull radiographs performed after 48months of age. In 18 (90%) children, the BCA was ‘diffuse' with 5 (25%) children having the maximum possible score of 8. In the BCA group, 45% (n = 9) had symptoms compared to 10.7% (n = 3) in the control group (p = 0.0068). Conclusions: This study suggests a significant number of children with BCA on radiographs develop symptoms suggestive of raised ICP following surgical treatment in infancy and prolonged follow up may be warranted in this group of patients. Springer-Verlag, 2007 Sagittal synostosis nationallicence Craniosynostosis nationallicence Symptoms nationallicence Headache nationallicence Radiology nationallicence Copper-beaten appearance nationallicence Increased convolution markings nationallicence Intracranial pressure nationallicence Intracranial hypertension nationallicence Skull radiograph nationallicence Pediatric nationallicence Postoperative nationallicence Agrawal Deepak Department of Neurosurgery, Neurosciences & Gamma-Knife Centre, All India Institute of Medical Sciences, New Delhi-110029, India aut Steinbok Paul Division of Pediatric Neurosurgery, Department of Pediatric Surgery, British Columbia's Children's Hospital, Children's and Women's Health Centre, 4480 Oak St, #K3-159, V6H 3V4, Vancouver, British Columbia, Canada aut Cochrane D. Division of Pediatric Neurosurgery, Department of Pediatric Surgery, British Columbia's Children's Hospital, Children's and Women's Health Centre, 4480 Oak St, #K3-159, V6H 3V4, Vancouver, British Columbia, Canada aut Child's Nervous System Springer-Verlag 23/12(2007-12-01), 1467-1470 0256-7040 23:12<1467 2007 23 381 https://doi.org/10.1007/s00381-007-0430-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0430-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Agrawal Deepak Department of Neurosurgery, Neurosciences & Gamma-Knife Centre, All India Institute of Medical Sciences, New Delhi-110029, India aut NATIONALLICENCE 700 1- Steinbok Paul Division of Pediatric Neurosurgery, Department of Pediatric Surgery, British Columbia's Children's Hospital, Children's and Women's Health Centre, 4480 Oak St, #K3-159, V6H 3V4, Vancouver, British Columbia, Canada aut NATIONALLICENCE 700 1- Cochrane D. Division of Pediatric Neurosurgery, Department of Pediatric Surgery, British Columbia's Children's Hospital, Children's and Women's Health Centre, 4480 Oak St, #K3-159, V6H 3V4, Vancouver, British Columbia, Canada aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/12(2007-12-01), 1467-1470 0256-7040 23:12<1467 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer