Chiari I and severe copper beaten skull

Case contributed by A.Prof Frank Gaillard

Severe plagiocephaly and copper beaten skull

Downward herniation of the cerebellar tonsils.

Case Discussion

This 6 month old child has muliple sutural synostosis (sagittal suture and part of the lambdoid sutur) , and a Chiari I malformation

Severe copper beaten skull appearance is present which is more reminiscent of a lacunar skull, however no myelomeningocoele is present (i.e not a Chiari II malformation) and axial imaging demonstrates the correlation of gyri with the overlying skull defects. 

The patient was treated with surgery to open the sutures, and marked improvement to the skull shape and posterior fossa ensued. 

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Case information

rID: 5993
Published: 4th Apr 2009
Last edited: 15th Nov 2015
Inclusion in quiz mode: Included

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