Skull Deformities_evans

Syndromic20 riskfactors

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

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...
View Full Document

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.

Ask a homework question - tutors are online