Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis

Premature fusion of a cranial suture is known to result in characteristic changes in the head shape, even when the synostosis involves only part of the suture. We report an unusual case of a patient seen at the age of 2 months for an abnormal head shape that was present at birth. The phenotype was c...

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Autores principales: Fazzino, Josie Z., Mantilla-Rivas, Esperanza, Talbet, Joseph H., Kapoor, Elina, Manrique, Monica, McGrath, Jennifer L., Magge, Suresh N., Oh, Albert K., Rogers, Gary F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Pediatric/Craniofacial
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544183/
https://www.ncbi.nlm.nih.gov/pubmed/33133971
http://dx.doi.org/10.1097/GOX.0000000000003127
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author Fazzino, Josie Z.
Mantilla-Rivas, Esperanza
Talbet, Joseph H.
Kapoor, Elina
Manrique, Monica
McGrath, Jennifer L.
Magge, Suresh N.
Oh, Albert K.
Rogers, Gary F.
author_facet Fazzino, Josie Z.
Mantilla-Rivas, Esperanza
Talbet, Joseph H.
Kapoor, Elina
Manrique, Monica
McGrath, Jennifer L.
Magge, Suresh N.
Oh, Albert K.
Rogers, Gary F.
author_sort Fazzino, Josie Z.
collection PubMed
description Premature fusion of a cranial suture is known to result in characteristic changes in the head shape, even when the synostosis involves only part of the suture. We report an unusual case of a patient seen at the age of 2 months for an abnormal head shape that was present at birth. The phenotype was consistent with an isolated fusion of the frontosphenoidal suture, but the suture was open on a high-resolution computed tomography scan finding. There was no improvement in cranial form after 6 months of helmet therapy, and a follow-up computed tomography scan image taken at age 10 months showed the development of bilateral isolated frontosphenoidal synostosis. This case highlights that an abnormal head shape may, in some patients, predate radiographic evidence of craniosynostosis.
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spelling pubmed-75441832020-10-29 Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis Fazzino, Josie Z. Mantilla-Rivas, Esperanza Talbet, Joseph H. Kapoor, Elina Manrique, Monica McGrath, Jennifer L. Magge, Suresh N. Oh, Albert K. Rogers, Gary F. Plast Reconstr Surg Glob Open Pediatric/Craniofacial Premature fusion of a cranial suture is known to result in characteristic changes in the head shape, even when the synostosis involves only part of the suture. We report an unusual case of a patient seen at the age of 2 months for an abnormal head shape that was present at birth. The phenotype was consistent with an isolated fusion of the frontosphenoidal suture, but the suture was open on a high-resolution computed tomography scan finding. There was no improvement in cranial form after 6 months of helmet therapy, and a follow-up computed tomography scan image taken at age 10 months showed the development of bilateral isolated frontosphenoidal synostosis. This case highlights that an abnormal head shape may, in some patients, predate radiographic evidence of craniosynostosis. Lippincott Williams & Wilkins 2020-09-17 /pmc/articles/PMC7544183/ /pubmed/33133971 http://dx.doi.org/10.1097/GOX.0000000000003127 Text en Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Pediatric/Craniofacial
Fazzino, Josie Z.
Mantilla-Rivas, Esperanza
Talbet, Joseph H.
Kapoor, Elina
Manrique, Monica
McGrath, Jennifer L.
Magge, Suresh N.
Oh, Albert K.
Rogers, Gary F.
Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis
title Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis
title_full Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis
title_fullStr Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis
title_full_unstemmed Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis
title_short Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis
title_sort abnormal cranial shape preceding radiographic evidence of craniosynostosis
topic Pediatric/Craniofacial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544183/
https://www.ncbi.nlm.nih.gov/pubmed/33133971
http://dx.doi.org/10.1097/GOX.0000000000003127
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