Significance of beaten copper appearance on skull radiographs in children with isolated sagittal synostosis

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All India Institute of Medical Sciences

Health & Medicine

Significance of Beaten Copper Appearance on Skull Radiographs in Children with Isolated Sagittal Synostosis Deepak Agrawal, Paul Steinbok, D Cochrane Division of Neurosurgery, UBC and BC Children’s Hospital, Vancouver, Canada

Raised ICP in Single suture Synostosis ,[object Object],[object Object],[object Object],[object Object]

Measuring ICP problematic ,[object Object],[object Object],[object Object],[object Object]

In absence of ICP monitoring… ,[object Object],[object Object],[object Object]

Symptoms of chronic ↑ICP ,[object Object],[object Object]

Beaten Copper Appearance (BCA) ,[object Object],[object Object],[object Object]

Materials & Methods ,[object Object],[object Object],[object Object]

COHORTS ,[object Object],[object Object],[object Object],[object Object]

BCA SCORE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Study Design 48 Children BCA Group n=20 Non-BCA Group n=28 BCA score Symptoms of ICP Serial HC BCA score Symptoms of ICP Serial HC

Operative procedure ,[object Object],[object Object]

Operative procedure ,[object Object],[object Object],[object Object],[object Object]

RESULTS ,[object Object],[object Object],[object Object],[object Object]

BCA Score ,[object Object],[object Object],[object Object]

BCA in various age groups 6 (50) 9 (75) 10 (83.3) 12 > 48 months 1 (6.7) 4 (26.6) 4 (26.6) 15 18-48 months 4 (19.0) 5 (23.8) 6 (28.6) 21 ≤ 18 months Number of children with BCA & Symptoms (%) Number of children with diffuse BCA (%) Number of children with BCA (%) Number of children with skull radiographs available

Head Growth Curve ,[object Object],[object Object]

CONCLUSIONS ,[object Object],[object Object],[object Object]

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