Type:
Educational Exhibit
Keywords:
Anatomy, Neuroradiology brain, Paediatric, CT-High Resolution, MR, CT, Computer Applications-3D, Computer Applications-Detection, diagnosis, Computer Applications-General, Cerebrospinal fluid, Congenital, Image verification
Authors:
G. D'Apolito, R. Calandrelli, G. Di Lella, A. M. Costantini, C. Colosimo; Rome/IT
DOI:
10.1594/ecr2013/C-1216
Conclusion
Premature fusion of cranial sutures in infants leads to profound changes in craniofacial shape and in skull base simmetry due to a close relationship between calvarium,
skull base and facial complex development.
HRCT with bone definition algorithms and three-dimensional reconstruction is an excellent technique to identify premature sutural closure,
to evaluate cranio-facial deformities and to perform a morphometric analysis of skull base,
while MR is “gold standard” to detect parenchymal abnormalities.
In literature,
classifications of craniosynostosis are based on the involvement of the main skull sutures; high-resolution CT,
allowing the recognition of "minor" sutures,
is useful to correctly estimate the severity of the anomaly.
Early identification of involved skull sutures is helpful not only to guide clinical evaluation,
but also to address surgical approach in Patients with syndromic synostosis.