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Role of "major" and "minor" lambdoid arch sutures in posterior cranial fossa changes: mechanism of cerebellar tonsillar herniation in infants with multisutural craniosynostosis.

Rosalinda CalandrelliGabriella D'ApolitoMarco PanfiliLuca MassimiMassimo CaldarelliCesare Colosimo
Published in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2015)
Hypoplasia of PCF bone structures due to sutural synostosis of the lambdoid arch is a required predisposing but not sufficient factor for the development of cerebellar tonsillar herniation through the foramen magnum. Normal PCF volume and foramen magnum anatomy may partly explain the development of cerebellar tonsil herniation in infants with lambdoid arch synostosis.
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