Authors: Natalia Simanovsky Nurith Hiller Benjamin Koplewitz Katya Rozovsky
Publish Date: 2008/10/22
Volume: 19, Issue: 3, Pages: 687-692
Abstract
Computed tomography CT is the ‘gold standard’ for evaluation of the cranial sutures While prenatal cranial suture evaluation with ultrasound US is common US has not been established as a postnatal screening tool We evaluated the effectiveness of US for diagnosis of craniosynostosis CS During 2006 24 infants with questionable CS were assessed with US of the sagittal metopic and bilateral coronal and lambdoid sutures US findings and clinical records were reviewed retrospectively Sixteen boys and eight girls ages 1–11 months mean 43 underwent US The correct diagnosis was provided in 23 95 with equivocal findings in one patient Cranial sutures appeared normal in 15 infants who had normal clinical presentation at mean 58 months followup CT confirmation was obtained in two In eight children US identified premature closure of one or more cranial sutures Threedimensional CT was performed as a preparation for surgery in four with classical CS findings In one case with inconclusive US findings CT showed narrow but open sutures Sonographic examination of cranial sutures may serve as a first imaging tool for evaluation of craniosynostosis CT may be reserved for children with abnormal or equivocal ultrasound and for preoperative planning
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