{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T10:14:46Z","timestamp":1777803286047,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2008,2,20]],"date-time":"2008-02-20T00:00:00Z","timestamp":1203465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:p>We report the case of a 12-year-old girl born with cerebral dysgenesis and congenital hydrocephalus first shunted shortly after birth. She had severe tissue-damaging self-injurious behavior, profound mental retardation, quadriparesis, as well as multiple cranial anomalies including turricephaly. After stage 1 cranial remodeling, a bone window was left pending second stage remodeling. Episodic changes in fluctuation of the scalp overlying the bone window were easily observed. During the course of a behavioral assessment for her self-injury, it was observed that the overall frequency of occurrence of self-injury increased significantly ( P &lt; .01) when the scalp was protruding and bulging compared with when the scalp was flush with the skull table. Periods of increased scalp protrusion were also associated with higher scores on a pain scale developed for children with communicative impairments associated with severe neurological impairment. After shunt replacement, there was remarkable improvement in functional status and decreased episodic self-injury.<\/jats:p>","DOI":"10.1177\/0883073808314155","type":"journal-article","created":{"date-parts":[[2008,9,30]],"date-time":"2008-09-30T18:47:42Z","timestamp":1222800462000},"page":"1062-1065","source":"Crossref","is-referenced-by-count":9,"title":["Clinical Observation of Self-Injurious Behavior Correlated With Changes in Scalp Morphology in a Child With Congenital Hydrocephalus"],"prefix":"10.1177","volume":"23","author":[{"given":"Ellie C.","family":"Hartman","sequence":"first","affiliation":[{"name":"University of Minnesota, Minneapolis"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Gilles","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis, Children's Hospitals and Clinics, and Gillette Children's Specialty Healthcare, St. Paul, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer J.","family":"McComas","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy E.","family":"Danov","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank J.","family":"Symons","sequence":"additional","affiliation":[{"name":"University of Minnesota, Minneapolis,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,2,20]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-2779(200102)7:1<3::AID-MRDD1002>3.0.CO;2-#"},{"key":"atypb2","first-page":"1","volume":"7","author":"NIH.","year":"1989","journal-title":"NIH Consens Statement"},{"key":"atypb3","volume-title":"Self-injurious Behavior; Analysis, Assessment, and Treatment","author":"Luiselli JK","year":"1992"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1901\/jaba.1997.30-165"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1901\/jaba.1996.29-133"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(80)80056-6"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1002\/mrdd.1410010204"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1352\/0047-6765(1997)035<0124:ROMCIT>2.0.CO;2"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1901\/jaba.1994.27-197"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00179-3"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1901\/jaba.1985.18-111"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162201230254"}],"container-title":["Journal of Child Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0883073808314155","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0883073808314155","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:35:39Z","timestamp":1777494939000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0883073808314155"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,2,20]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2008,9]]}},"alternative-id":["10.1177\/0883073808314155"],"URL":"https:\/\/doi.org\/10.1177\/0883073808314155","relation":{},"ISSN":["0883-0738","1708-8283"],"issn-type":[{"value":"0883-0738","type":"print"},{"value":"1708-8283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,2,20]]}}}