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Case of the Week 611


What is the most likely diagnosis?

  • 18 month-old with skull deformity



Frontal and Lateral Skull Radiograph

  1. Elevated Intrancranial Pressure
  2. Craniosynostosis
  3. Apert's Syndrome
  4. Maxillary Sinusitis
  5. Craniopharyngioma

Additional Image - None

 

Additional Images

 

 

None


Answer:

2. Craniosynostosis

More (Click Discussion Tab)

 

 

Craniosynostosis

General Considerations

  • Premature fusion of one or more of the cranial sutures
  • Can be primary, resulting from a defect in ossification, or
  • Secondary (more often) from failure of growth of the brain
    • Brain growth is the major factor in keeping sutures open
  • The head shape is frequently abnormal
  • The sagittal suture is affected most commonly (50-60%), followed by the coronal, metopic and lambdoid
  • Skull growth is restricted perpendicular to the orientation of the suture

MORE . . .


.

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LearningRadiology.com
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