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

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All India Institute of Medical Sciences
All India Institute of Medical Sciences
Health & Medicine
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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]
[object Object],[object Object]
Also…. ,[object Object],[object Object]
OBJECTIVE ,[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]
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
16 months postop 30 months postop
Head Growth Curve ,[object Object],[object Object]
CONCLUSIONS ,[object Object],[object Object],[object Object]
[object Object]

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

  • 1. 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
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  • 13. 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
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  • 19. 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
  • 20. 16 months postop 30 months postop
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