Unformatted text preview: hat’s the worry? Craniosynostosis: Premature closure of sutures
1 in 2,1003,000 live births Isolated (80%) vs. Syndromic (20%)
Risk Factors: Singlegene mutations (FGFR, TWIST, MSX2)
Rickets, hyperthyroidism Phenytoin, retinoids, VA, MTX, fluconazole What’s a Pediatrician to do?
What’s a Pediatrician to do?
The H&P, of course! Molding Pressure in AP dimension (labor)
Resolves in hoursweeks Deformation Pressure in local region (occipital)
No sutural ridging; bones mobile Synostosis Premature closure of sutures Palpable ridges over suture; bones immobile What’s normal?
What’s normal? PARALLELOGRAM TRAPEZOID Deformational Plagiocephaly Lambdoid Synostosis What’s not?
What’s not? Metopic Synostosis Bicoronal Synostosis What’s not?
What’s not? Sagittal Synostosis Deformational Plagiocephaly
Deformational Plagiocephaly AKA: Positional, Posterior, Occipital, Plagiocephaly without synostosis Diagnosis: Usually clear based on H&P
Head shape (parallelogram) Xray if unsure – sutures patent Deformational Plagiocephaly
Deformational Plagiocephaly Treatm...
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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.
- Fall '11