Cases Skull

Fredy Villena
 Caso 1
• El niño sufrió una caída al suelo desde hace
cuatro días, pero no presenta síntomas
neurológicos, no sufrió vómitos, solo tiene
una hinchazón debajo del cuero cabelludo.
• Datos del paciente
• EDAD: 12 meses
• Género femenino
• Fx en frontal
• Fx en Temporal
• Que radiografía ES?
• TECNICAMENTE ESTA ADECUADA?
• REPETÍRIAS LA PLACA?
 Discusión
• Fractura del hueso parietal izquierdo con
hematoma debajo del cuero cabelludo.
 Escafocefalia
cabeza larga y estrecha en forma de cuña.
Sinostosis de la sutura sagital
unilateral coronal synostosis
right lambdoid suture
Plagiocefalia
Trigonocefalia
pansinostosis
 Edades de cierre normal de sutura /
fontanela
• metopic: 3-9 months
• anterior fontanelle: 18-24 months
• sphenosquamosal: 6-10 years
• sphenofrontal: approximately 15 years
• occipitomastoid: approximately 16 years
• sagittal: approximately 22 years
• coronal: approximately 24 years
• lambdoid: approximately 26 years
• squamosal: approximately 60 years
 Tipos
• brachycephaly: bicoronal and/or bilambdoid sutures
• scaphocephaly/dolichocephaly: sagittal suture
• plagiocephaly: unilateral coronal and lambdoid sutures
• frontal plagiocephaly: unilateral coronal suture
• occipital plagiocephaly: unilateral lambdoid suture
• trigonocephaly: metopic suture
• pachycephaly: lambdoid suture
• oxycephaly/turricephaly: sagittal, coronal and lambdoid sutures
(Tower like skull)
• cloverleaf skull/Kleeblattschadel: intrauterine sagittal, coronal,
lambdoid sutures (most severe)
• harlequin eye: ipsilateral coronal suture
• progressive postnatal pansynostosis: rare form of craniosynostosis
which involves late (postnatal) fusion of all cranial sutures
• The sagittal suture is most commonly involved
(≈50%), where the lateral growth of the skull is
arrested while anteroposterior growth
continues, producing a narrowly elongated
skull known as scaphocephaly (meaning boat-
shaped) or dolichocephaly (from the ancient
Greek for long, δολιχός: dolichos).