Brachycephaly with Epileptic Convulsion :A Case for Total Cranial Remoeling.

Kim, Hyung Tae; Kim, Kyung Mok; Kim, Yong Oock; Shin, Dong Jin

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(5):874-878.
Published online September 1, 1999.

Brachycephaly with Epileptic Convulsion :A Case for Total Cranial Remoeling.

Hyung Tae Kim, Kyung Mok Kim, Yong Oock Kim, Dong Jin Shin

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.