What is the most likely diagnosis?
- 18 month-old with skull deformity
Frontal and Lateral Skull Radiograph
- Elevated Intrancranial Pressure
- Craniosynostosis
- Apert's Syndrome
- Maxillary Sinusitis
- Craniopharyngioma
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Answer:
2. Craniosynostosis
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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