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KEEP AN AYE ON LUMPY BUMPY HEAD: A CASE SERIES HIGHLIGHTING SPECTRUM OF PRESENTATION IN CRANIOSYNOSTOSIS

Craniosynostosis is defined as the premature closure of one or more cranial sutures, which alters the configuration of the child’s head . It can occur as an isolated event or in the form of syndromes such as Apert, Crouzon, Carpenter etc [1]. The most common type is sagittal synostosis, the other commonly seen types are coronal, metopic and lambdoid synostosis. In this case series we describe 9 cases of craniosynostosis to highlight the spectrum of presentation of the disease , using 3D-CT as the diagnostic tool. CT-3D allows for complete assessment of the cranial vault, skull-base, orbits and facial bones and is the most sensitive and specific technique, so it is the modality of choice to confirm the diagnosis, especially in children with intermediate to high suspicion of craniosynostosis. In our series, the ages of our patients range from 2 months to 12 years having wide range of presentations such as meningitis, hypoxic brain injury, seizures, delayed milestones and also as an incidental finding in a case where patient presented with a completely different problem. This case series would guide clinicians in understanding different ways craniosynostosis can present in a pediatric setting.

REFERENCES: 1. Sharma RK. Craniosynostosis. Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India. 2013 Jan;46(1):18.
Keywords: Craniosynostosis, Spectrum, sutures

Marya Hameed
National Institute of Child Heslth
Pakistan

Syed Maaz Tariq
National Institute of Child Health
Pakistan

Ameet Kumar Jesrani
Sindh Institute of Urology and Transplantation
Pakistan

Hina Hanif
National Institute of Child Health
Pakistan

Kanwal Laique
National Institute of Child Health
Pakistan

Syed Shariqullah
National Institute of Child Health
Pakistan

Ashraf Amir Ali
National Institute of Child Health
Pakistan

 

 


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