Spheno-occipital synchondrosis

Case contributed by Antonio Rodrigues de Aguiar Neto
Diagnosis certain

Presentation

This child underwent computed tomography to investigate the loss of strength and pain in the left shoulder after a fall.

Patient Data

Age: 8 years.
Gender: Male

CT demonstrates a suture between the basisphenoid and basiocciput ossification centers, representing the spheno-occipital synchondrosis.

Case Discussion

The spheno-occipital synchondrosis is a midline cartilaginous union between the body of the sphenoid anteriorly and the occipital bone posteriorly in the cranial base 1-3. This synchondrosis usually closes near puberty, but occasionally it may persist until age 17 – 25, and its closure, although controversial, usually occurs faster and about one to two years earlier in girls than in boys 1-3.

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