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Craniosynostosis - Single Suture
Scaphocephaly
  • Synostosis of the sagittal suture.
Brachycephaly
  • Results from bicoronal synostosis.
Trigonocephaly
  • Secondary to metopic synostosis, manifests with a pointed forehead.
Lambdoid synostosis
  • Posterior plagiocephaly (a twisted skull).

Craniosynostosis - Single Suture

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Craniosynostoses
  • Premature cranial suture closure (synostosis).
Scaphocephaly
  • The most common type of synostosis; accounts for half of the incidences of synostosis each year.
  • There is synostosis of the sagittal suture – the skull is shaped like the narrow hull of a boat (the derivation of its name).
  • In accordance with Virchow's law, the interruption of brain growth is in perpendicular to the plane of the synostosis – thus the abnormal brain growth is in parallel to the synostosis. The skull elongates (in parallel to the synotic suture) – this results in an elongated, narrow skull.
  • The term dolichocephaly (elongated head) is either used synonymously scaphocephaly or as a broader catch-all for elongated head.
Brachycephaly
  • Results from bicoronal synostosis.
  • The skull cannot develop normally along the sagittal plane and we show, instead, that it manifests with a wide, short skull – again, in accordance with Virchow's law, the skull develops in parallel to the plane of the synostosis.
  • In unilateral coronal synostosis (as opposed to bilateral), also results in plagiocephaly because, as we can imagine, it results in a twisting/oblique appearance (but here of the frontal calvarium).
Trigonocephaly
  • Secondary to metopic synostosis, which results in a failure of frontal outward development.
  • It manifests with a pointed forehead… the eyebrows may appear "pinched."
  • To help link the name to the shape, we show that trigonocephaly results in a triangular shaped head, when viewed from above.
Lambdoid synostosis
  • Posterior plagiocephaly (a twisted skull) due to an inability of a side of the occiput to grow outward, thus there is an oblique oblique deformity of the posterior calvarial vault.