Wormian bones

Case contributed by Zentout Sofiane
Diagnosis almost certain

Presentation

Suspicion of craniosynostosis.

Patient Data

Age: 12 months
Gender: Male
ct

CT demonstrates wormian bone in posterior fontanelle, left lambdoid suture, and bilateral squamosal sutures.

No evidence of craniosynostosis.

The brain appears normal.

Case Discussion

Wormian bones or intra-sutural bones are very common, usually idiopathic (anatomical variant), or associated with several pathological conditions (pyknodysostosis, osteogenesis imperfecta, Rickets, others).

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