Craniosynostosis

Craniosynostosis - You: Welcome to the Peds Clinic ! How...

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You : Welcome to the Peds Clinic ! How can I help you? Mom : Destiny’s face is all screwed up. She was rejected from her fourth Gerber photo-shoot in the last 2 weeks!
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Normal Infant Skull Flexible enough to get through vagina Molding Expansile enough to accommodate rapid brain growth
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Infant Skull Anatomy
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Suture Growth Sutures allow growth perpendicular to them Growth at suture lines related to brain growth
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Suture Closure Bone Union By Age 20 Ossification By Age 8
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Early Closure Causes Growth Parallel to the Suture
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Craniosynostosis: Early Fusion of a Suture
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Sagittal Synostosis “Boat-Head” (Scaphocephaly)
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Coronal Synostosis “Bent-Head” (Plagiocepahly)
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Right Coronal Synostosis
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Metopic Synostosis “Triangle-Head” (Trigonocephaly)
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Metopic Synostosis
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Lamboid Synostosis “Slant-Head” (Occipital Plagiocephaly) M A T R E S
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Isolated Primary Craniosynostosis Sutures Involved 0% 10% 20% 30% 40% 50% 60% 1967 1982 1994 Sagittal Coronal Metopic Lamboidal Multiple
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Clinical Exam OFC Head shape (from above, side) Ear and facial symmetry Look for ridging Look for associated anomalies Skull X-ray or CT
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Craniosynostosis Microcephaly Prematurity VP Shunting Positioning Secondary Primary Isolated Abnormal Suture Syndromic
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Deformational Scaphocephaly Persists until adulthood Prevention:
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Craniosynostosis - You: Welcome to the Peds Clinic ! How...

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