Cleidocranial dysostosis

Case contributed by Kalyan S Chilwant
Diagnosis certain

Presentation

Patient came for chest x-ray due to difficulty breathing. The radiographic findings prompted us to do additional x-rays.

Patient Data

Age: 20 years
Gender: Male
x-ray
  • chest x-ray shows clavicles are absent bilaterally, small and high scapulae, bell-shaped chest
  • multiple wormian bones, parietal bossing, absent frontal sinus on the left side, high odontoid process, though not sufficient to label basilar invagination
  • supernumerary teeth 
ct
  • multiple wormian bones, parietal bossing, absent frontal sinus on the left side, high odontoid process, though not sufficient to label basilar invagination
  • supernumerary teeth

Case Discussion

Additionally, the patient previously had genu valgum deformity which got spontaneously corrected in due course of time due to growing bones. By this age, many teeth have fallen although still remain supernumerary as seen on orthopantogram.

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