Presentation
Abnormal head shape.
Patient Data
Age: 6 month
Gender: Male
From the case:
Metopic suture synostosis
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Info
Hypotelorism is present. The superomedial orbital margins are deviated superiorly producing a "quizzical" orbit appearance. The metopic suture is not clearly visible.
The coronal, lambdoid and sagittal sutures are normal.
From the case:
Metopic suture synostosis
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Info
CT demonstrates the fused metopic suture with midline frontal bony ridging. This produces a triangular head shape (trigonocephaly). Hypotelorism and hypoplastic frontal sinuses are also present. The anterior cranial fossa is narrow.
Case Discussion
These appearances are characteristic of metopic suture synostosis. This patient has been treated conservatively.
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