Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis

Josie Z. Fazzino; Esperanza Mantilla-Rivas; Joseph H. Talbet; Elina Kapoor; Monica Manrique; Jennifer L. McGrath; Suresh N. Magge; Albert K. Oh; Gary F. Rogers

doi:10.1097/GOX.0000000000003127

Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis

Josie Z. Fazzino, Esperanza Mantilla-Rivas^*, Joseph H. Talbet, Elina Kapoor, Monica Manrique, Jennifer L. McGrath, Suresh N. Magge, Albert K. Oh, Gary F. Rogers

^*Corresponding author for this work

Surgery

Research output: Contribution to journal › Article › peer-review

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Abstract

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.

Original language	English (US)
Pages (from-to)	E3127
Journal	Plastic and Reconstructive Surgery - Global Open
Volume	8
Issue number	9
DOIs	https://doi.org/10.1097/GOX.0000000000003127
State	Published - Sep 17 2020

ASJC Scopus subject areas

Surgery

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Cite this

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title = "Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis",

abstract = "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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T1 - Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis

AU - Fazzino, Josie Z.

AU - Mantilla-Rivas, Esperanza

AU - Talbet, Joseph H.

AU - Kapoor, Elina

AU - Manrique, Monica

AU - McGrath, Jennifer L.

AU - Magge, Suresh N.

AU - Oh, Albert K.

AU - Rogers, Gary F.

PY - 2020/9/17

Y1 - 2020/9/17

N2 - 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.

AB - 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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Abnormal Cranial Shape Preceding Radiographic Evidence of Craniosynostosis

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