Copper beaten skull

Case contributed by Dr Varun Babu

Presentation

Known case of craniosynostosis, sent by the ophthalmologist to assess optic canal narrowing. Clinically patient has right optic atrophy.

Patient Data

Age: 8 years
Gender: Female
CT

Reduced coronal diameter of frontal bones secondary to early fusion of coronal suture. Tight stenosis of bilateral optic canals. Gyral imprinting seen in the inner table of all calvarial bones suggestive of chronic raised intracranial pressure. 

Case Discussion

Craniosynostosis refers to the abnormal early fusion or closure of cranial vault sutures resulting in varying deformed skull shapes. The early fusion results in restricted space for brain growth in the first two years. This results in the brain parenchyma exerting pressure on the inner table of skull leaving forever evidence in the form of a copper beaten appearance

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Case information

rID: 57100
Case created: 7th Dec 2017
Last edited: 8th Dec 2017
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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