PT - JOURNAL ARTICLE AU - Nada Al-Hadithy AU - Joanna Mennie AU - Ken Stewart TI - Two different management modalities in a two sibling case report of Adams Oliver syndrome AID - 10.1136/bcr.10.2011.4965 DP - 2011 Dec 22 TA - BMJ Case Reports PG - bcr1020114965 VI - 2011 4099 - http://casereports.bmj.com/content/2011/bcr.10.2011.4965.short 4100 - http://casereports.bmj.com/content/2011/bcr.10.2011.4965.full AB - The authors report two-sibling case of Adams Oliver syndrome. One was managed with early surgical intervention after a period of failed conservative management and the other conservatively managed until reconstruction and surgical correction of alopecia. The goal of treatment is to achieve a complete closure of the defect without encountering any fatal complications such as haemorrhage and infection or causing any long-term neurological morbidity. Various papers have been published related to ACC, yet there is no consensus on the therapeutic approach. The management decision hinges upon balancing the risks of complications including spontaneous sagittal sinus haemorrhage and the risk of surgical intervention. Both treatment modalities proved successful in these cases.