Coronal suture synostosis

Case contributed by Yusra Sheikh
Diagnosis certain

Presentation

Referred for further imaging. Clinically had elevated and tilted orbits. Flattened and recessed frontal bone.

Patient Data

Age: 30 months
Gender: Female
x-ray

There is deformity of the orbits with superolateral tilt (Harlequin deformity) on the frontal radiograph.

Frontal bone flattening with lambdoid craniosynostosis  is demonstrated on the lateral view.

Case Discussion

Brachycephaly refers to a calvarial shape where the bi-parietal diameter to fronto-occipital diameter approaches the 95th percentile. It can result from a craniosynostosis involving the bicoronal and/or bilambdoid sutures.

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