Document Detail

Effectiveness of ultrasonographic evaluation of the cranial sutures in children with suspected craniosynostosis.
MedLine Citation:
PMID:  18941755     Owner:  NLM     Status:  MEDLINE    
Computed tomography (CT) is the 'gold standard' for evaluation of the cranial sutures. While prenatal cranial suture evaluation with ultrasound (US) is common, US has not been established as a postnatal screening tool. We evaluated the effectiveness of US for diagnosis of craniosynostosis (CS). During 2006, 24 infants with questionable CS were assessed with US of the sagittal, metopic, and bilateral coronal and lambdoid sutures. US findings and clinical records were reviewed retrospectively. Sixteen boys and eight girls (ages 1-11 months, mean 4.3) underwent US. The correct diagnosis was provided in 23 (95%), with equivocal findings in one patient. Cranial sutures appeared normal in 15 infants, who had normal clinical presentation at mean 5.8 months follow-up; CT confirmation was obtained in two. In eight children, US identified premature closure of one or more cranial sutures. Three-dimensional CT was performed as a preparation for surgery in four, with classical CS findings. In one case with inconclusive US findings, CT showed narrow but open sutures. Sonographic examination of cranial sutures may serve as a first imaging tool for evaluation of craniosynostosis. CT may be reserved for children with abnormal or equivocal ultrasound and for preoperative planning.
Natalia Simanovsky; Nurith Hiller; Benjamin Koplewitz; Katya Rozovsky
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Publication Detail:
Type:  Journal Article     Date:  2008-10-22
Journal Detail:
Title:  European radiology     Volume:  19     ISSN:  1432-1084     ISO Abbreviation:  Eur Radiol     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-02-05     Completed Date:  2009-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  687-92     Citation Subset:  IM    
Department of Medical Imaging, Hadassah Hebrew University Medical Center, Mount Scopus, Jerusalem, Israel.
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MeSH Terms
Cranial Sutures / ultrasonography*
Craniosynostoses / diagnosis*,  radiography,  ultrasonography*
Diagnosis, Differential
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Pilot Projects
Reproducibility of Results
Treatment Outcome
Ultrasonography / methods*

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