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Its Reliability as an Estimate of "Cerebral Mantle" in the Normocephalic Child

DAVID B. SHURTLEFF, MD; ELDON L. FOLTZ, MD; JOHN T. CHAPMAN, MD

Am J Dis Child. 1966;111(3):262-266.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE "CEREBRAL mantle" (pallium or cortex) has been described as an objective and quantitative reciprocal index of ventricular dilatation.^1-8 Dramatic change in "cerebral mantle" thickness following adequate surgical decompression of acute hydrocephalus has been recorded.^3-5

Attempts to use the cerebral mantle thickness as a preoperative index of future potential has led one author to state "The present study has failed to yield any reliable correlation between preoperative cortical thickness and subsequent intellectual development."⁶ Such a conclusion is strengthened when one reads various reports suggesting 0.5 cm,⁴ 1 cm,⁶ less than 1 to 3 cm,⁷ 1.2 cm,³ and 0.5 to 3.5 cm⁸ as minimum preoperative cerebral mantle thickness that limits normal future development.

More detailed developmental and subjective pneumoencephalographic studies further suggest an inability to prognosticate future intellectual function from air contrast study changes.^9,10

Despite the disagreement that exists, most investigators indicate . . . [Full Text PDF of this Article]

Author Affiliations
SEATTLE

From the University of Washington Medical School and The Children's Orthopedic Hospital and Medical Center, Seattle.

Footnotes
Received for publication Nov 12, 1965.

Reprint requests to Department of Pediatrics, University of Washington School of Medicine, Seattle, Wash 98105 (Dr. Shurtleff).

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