Trigonocephaly

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Abnormal head shape.

Patient Data

Age: 4 months
Gender: Male
mri

Triangular appearance of the frontal skull due to a premature fusion of the metopic suture with associated orbital hypotelorism.

Case Discussion

Trigonocephaly accounts for around 5% of all craniosynostosis.

The metopic suture is usually open at birth and normally fuses in the first 12 months of life. Premature fusion prevents transverse growth of the forehead which causes a triangular-shaped forehead that may be associated with orbital hypotelorism as in this case.

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