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Plagiocephaly due to Frontosphenoidal Suture Synostosis: Report of 2 Cases and Literature Review.
Pediatr Neurosurg. 2016; 51(4):204-9.PN

Abstract

BACKGROUND/AIMS

The most common cause of anterior plagiocephaly is the fusion of the unilateral coronal suture. In some rare cases, however, the fusion of the frontosphenoidal suture may lead to a resembling pattern with specific clinical and radiological features. The aim of the present study is to further enlighten this entity as it is misdiagnosed most of the time.

METHODS

A report of 2 cases of plagiocephaly due to frontosphenoidal synostosis with a review of the literature.

RESULTS

One female and one male baby were identified. The mean age at presentation was 11.5 months (range: 1-22). Head circumference was normal in each patient. The two fusions were on the left side. Unilateral frontal flattening and recession of the supraorbital rim were the most important physical findings. Computed tomography confirmed the patency of the frontoparietal suture and the closure of the frontosphenoidal suture. Fronto-orbital advancement was performed in both cases with good cosmetic outcome.

CONCLUSION

Frontosphenoidal synostosis should be suspected and carefully searched when dealing with plagiocephaly with patent coronal suture. Good outcome requires a prompt diagnosis and early correction.

Authors+Show Affiliations

Department of Neurosurgery, Fattouma Bourguiba University Hospital - The University of Medicine of Monastir, Monastir, Tunisia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

26960206

Citation

Ben Nsir, Atef, et al. "Plagiocephaly Due to Frontosphenoidal Suture Synostosis: Report of 2 Cases and Literature Review." Pediatric Neurosurgery, vol. 51, no. 4, 2016, pp. 204-9.
Ben Nsir A, Darmoul M, Zemmali M, et al. Plagiocephaly due to Frontosphenoidal Suture Synostosis: Report of 2 Cases and Literature Review. Pediatr Neurosurg. 2016;51(4):204-9.
Ben Nsir, A., Darmoul, M., Zemmali, M., Slimane, A., & Hattab, N. (2016). Plagiocephaly due to Frontosphenoidal Suture Synostosis: Report of 2 Cases and Literature Review. Pediatric Neurosurgery, 51(4), 204-9. https://doi.org/10.1159/000444194
Ben Nsir A, et al. Plagiocephaly Due to Frontosphenoidal Suture Synostosis: Report of 2 Cases and Literature Review. Pediatr Neurosurg. 2016;51(4):204-9. PubMed PMID: 26960206.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Plagiocephaly due to Frontosphenoidal Suture Synostosis: Report of 2 Cases and Literature Review. AU - Ben Nsir,Atef, AU - Darmoul,Mehdi, AU - Zemmali,Maroua, AU - Slimane,Abdelhafidh, AU - Hattab,Nejib, Y1 - 2016/03/10/ PY - 2015/09/28/received PY - 2016/01/21/accepted PY - 2016/3/10/entrez PY - 2016/3/10/pubmed PY - 2018/4/6/medline SP - 204 EP - 9 JF - Pediatric neurosurgery JO - Pediatr Neurosurg VL - 51 IS - 4 N2 - BACKGROUND/AIMS: The most common cause of anterior plagiocephaly is the fusion of the unilateral coronal suture. In some rare cases, however, the fusion of the frontosphenoidal suture may lead to a resembling pattern with specific clinical and radiological features. The aim of the present study is to further enlighten this entity as it is misdiagnosed most of the time. METHODS: A report of 2 cases of plagiocephaly due to frontosphenoidal synostosis with a review of the literature. RESULTS: One female and one male baby were identified. The mean age at presentation was 11.5 months (range: 1-22). Head circumference was normal in each patient. The two fusions were on the left side. Unilateral frontal flattening and recession of the supraorbital rim were the most important physical findings. Computed tomography confirmed the patency of the frontoparietal suture and the closure of the frontosphenoidal suture. Fronto-orbital advancement was performed in both cases with good cosmetic outcome. CONCLUSION: Frontosphenoidal synostosis should be suspected and carefully searched when dealing with plagiocephaly with patent coronal suture. Good outcome requires a prompt diagnosis and early correction. SN - 1423-0305 UR - https://www.unboundmedicine.com/medline/citation/26960206/Plagiocephaly_due_to_Frontosphenoidal_Suture_Synostosis:_Report_of_2_Cases_and_Literature_Review_ L2 - https://www.karger.com?DOI=10.1159/000444194 DB - PRIME DP - Unbound Medicine ER -