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    Cranio Syn Ostos Is

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    Ezekiel Arteta
    Craniosynostosis occurs when one or more of the skull's sutures fuse early, before the brain is fully grown. It can be caused by a single suture fusing (simple) or multiple sutures (compound). The suture affected determines the skull deformity produced - sagittal synostosis causes an elongated, narrow skull called scaphocephaly; coronal synostosis causes a wide, short skull called brachycephaly; lambdoid synostosis causes flattening at the back of the skull. Craniosynostosis is diagnosed using 3D imaging or ultrasound and features sutural narrowing and ridging.

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    Cranio Syn Ostos Is

    Uploaded by

    Ezekiel Arteta
    59 views18 pages
    Craniosynostosis occurs when one or more of the skull's sutures fuse early, before the brain is fully grown. It can be caused by a single suture fusing (simple) or multiple sutures (compound). The suture affected determines the skull deformity produced - sagittal synostosis causes an elongated, narrow skull called scaphocephaly; coronal synostosis causes a wide, short skull called brachycephaly; lambdoid synostosis causes flattening at the back of the skull. Craniosynostosis is diagnosed using 3D imaging or ultrasound and features sutural narrowing and ridging.

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    Cranio Syn Ostos Is

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    Craniosynostosis occurs when one or more of the skull's sutures fuse early, before the brain is fully grown. It can be caused by a single suture fusing (simple) or multiple sutures (compound). The suture affected determines the skull deformity produced - sagittal synostosis causes an elongated, narrow skull called scaphocephaly; coronal synostosis causes a wide, short skull called brachycephaly; lambdoid synostosis causes flattening at the back of the skull. Craniosynostosis is diagnosed using 3D imaging or ultrasound and features sutural narrowing and ridging.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    59 views18 pages

    Cranio Syn Ostos Is

    Uploaded by

    Ezekiel Arteta
    Craniosynostosis occurs when one or more of the skull's sutures fuse early, before the brain is fully grown. It can be caused by a single suture fusing (simple) or multiple sutures (compound). The suture affected determines the skull deformity produced - sagittal synostosis causes an elongated, narrow skull called scaphocephaly; coronal synostosis causes a wide, short skull called brachycephaly; lambdoid synostosis causes flattening at the back of the skull. Craniosynostosis is diagnosed using 3D imaging or ultrasound and features sutural narrowing and ridging.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    Anatomy

    The bones of the skull are the frontal, parietal, temporal,


    occipital, and sphenoid bones
    The place where two bones come together is called a suture
    At birth, the adjacent bones override each other to allow the
    infant to pass through the birth canal.
    As the child grows the sutures allow for skull expansion to
    accommodate the growing brain.
    The brain doubles in size by age 6 months and again at age
    2 years. These sutures normally begin to fuse around 2 years
    of age along with the closure of the fontanel (soft spot)
    Anatomy
    The seam where two skull bones fuse together is called
    a suture. The major sutures are called sagittal, coronal,
    metopic and lambdoid
    Pathology
    Craniosynostosis occurs when one or more of the major
    sutures close early
    The cause is unknown
    It is called 'primary' when not associated with any other
    problem. When there is an underlying disorder it is
    considered 'secondary
    heali
    It may be "simple" with only one suture closed or
    "compound" when multiple sutures are involved
    Pathology
    Craniosynostosis occurs when one or more of the major sutures
    close early
    The cause is unknown
    It is called 'primary' when not associated with any other problem.
    When there is an underlying disorder it is considered 'secondary
    Healing rickets and hypophosphatasia
    Idiopathic hyperclcemia
    Anemias with diploe involvement
    Hyperthyroidism
    Brain atrophy
    After successful shunting for hydrocephalus
    Pathology
    Features
    Sutural narrowing
    Sharpening of the edges
    Sclerosis and ridging along the margins of the suture
    Bony bridging across the suture line

    Three-Dimensional Study: Gold standard


    Ultrasound: Preliminary study
    Sagittal Craniosynostosis
    Most common
    Creates an elongated
    narrow skull called
    'scaphocephaly' or
    'dolicocephaly
    The compensatory
    change causes the front
    (frontal) and back
    (occipital) areas of the
    skull to be pushed
    outward causing bossing
    (bulging of the skull)
    Coronal Craniosynostosis
    Second most common
    Caused by early closure of the
    coronal suture
    Produces a calvarium that is short
    from front to back and wide from
    side to side, called bradycephaly or
    brachycephaly
    Bregma is somewhat high in
    position, and calvarium is wide in
    frontal projection
    Marked uptilting of the sphenoid
    wings
    Harlequin appearance of the orbits
    Coronal Craniosynostosis
    Frontospenoid synchondrosis is also probably involved
    Often the primary deformity in Crouzons disease and
    Aperts syndrome
    Craniofacial dysostosis
    Unilateral Coronal Synostosis
    Features
    Flattening of the ipsilateral frontoparietal region
    Elevation of the ipsilateral sphenoid wing
    Unilateral harlequin appearance of the involved orbit
    Coronal suture on the involved side shows the usual shape
    of premature closure
    Narrowness of the suture line
    Sharpening of the sutural edges
    Sclerosis along the bony margins
    Skewed Nasal Septal Sign nasal septum is obliquely tilted
    Lambdoid Craniosynostosis
    Isolated synostosis of the
    lambdoid sutures is less common
    When present,
    Marked flattening and
    underdevelopment of the lower
    portion of the posterior fossa
    Severe overgrowth of the bregma
    Oxycpehalic or turricephalic skull
    Metopic Craniosynostosis
    Forehead becomes pointed
    Trigonocephaly
    Mixed Craniosynostosis
    Cloverleaf Skull most grotesque deformity
    Prominent bulging of the temporal region is see
    Universal Craniosynostosis
    All sutures can close prematurely
    Severe microcephaly is seen
    Markedly increased inner table convolutions and other
    signs of chronically increase intracranial pressure (vs.
    brain atrophy)
    Summary
    Name of Skull Deformity from Craniosynostosis
    Suture(s) Fused Early Type of Skull Deformity
    Sagittal suture Scaphocephaly (most common)
    One coronal suture Anterior plagiocephaly
    Both coronal sutures Brachycephaly
    One lambdoid suture Posterior plagiocephaly
    Metopic suture Trigonocephaly
    All skull sutures and basilar
    Oxycephaly
    skull sutures
    Fusion of all sutures except Kleeblattschadel (Cloverleaf
    metopic and squamosal skull)

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