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  1. Scaphocephaly

81. Craniosynostosis
scaphocephaly scaphocephaly is an early closure of fusion of the sagittal suture. This suture runs front to back, down the middle of the top of the head.
http://www.chw.org/display/PPF/DocID/1810/router.asp
Site Index Anatomy of the Newborn Skull Overview of Craniofacial Anomalies The Craniofacial Team ... Craniofacial Anomalies : Craniosynostosis E-mail this page Print this page
Craniosynostosis
What is craniosynostosis? The normal skull consists of several plates of bone that are separated by sutures. The sutures (fibrous joints) are found between the bony plates in the head. As the infant grows and develops, the sutures close, forming a solid piece of bone, called the skull.
Craniosynostosis is a condition in which the sutures close too early, causing problems with normal brain and skull growth. Premature closure of the sutures may also cause the pressure inside of the head to increase and the skull or facial bones to change from a normal, symmetrical appearance.
What causes craniosynostosis? Craniosynostosis occurs in one out of 2,000 live births and affects males twice as often as females.
Craniosynostosis is most often sporadic (occurs by chance). In some families, craniosynostosis is inherited in one of two ways:
  • autosomal recessive - Autosomal recessive means that two copies of the gene are necessary to express the condition, one inherited from each parent, who are carriers. Carrier parents have a one in four, or 25 percent, chance with each pregnancy, to have a child with craniosynostosis. Males and females are equally affected.

82. Home Page
scaphocephaly is the most common form of simple craniosynostosis. A cloverleaf shaped cranium and oxycephaly are the complex forms resulting from the
http://www.ilfeto.it/Archivio_Giornali/2004/15-03-04-eng.html
Home Page Thefetus.it
Journal of 15/03/2004

CRANIOSYNOSTOSIS Dr.ssa Giusi Acquaviva Department of Obstetrics and Gynecology, “Ospedale Vittorio Emanuele” University School of Medicine, Catania, Italy. The term Craniosynostosis identifies a pathological condition determined by the premature closure of one or more cranial sutures, before brain growth1 is complete . The result of this condition is is an evident morphological alteration of the head. The cranium is made up of a portion called the crown, another called the base and finally of the skeletal structures of the face. The crown is made up of the frontal, temporal, parietal and occipital bones. These bones are joined together by special fibrous joints which are called cranial sutures. They have the function of allowing the growth and development of the brain which doubles in volume during a child’s first year of life. This allows the head to develop in a harmonious way. After, approximately, the third year of life, the cranial sutures fuse and subsequently undergo the process of ossification2. When one or more cranial sutures fuse prematurely, the brain, which presses against the skull from the inside, causes the cranium to grow in the directions allowed by the cranial sutures left open. The law of Virchow (1842) sustains that the compensatory growth of the cranium occurs in a perpendicular direction to the fused sutures.

83. Children's Hospital Of NewYork-Presbyterian
like a triangle, with closely placed eyes (hypotelorism). scaphocephaly scaphocephaly is an early closure of fusion of the sagittal suture.
http://wo-pub2.med.cornell.edu/cgi-bin/WebObjects/PublicPediatrics.woa/1/wa/view

84. Craniosynostosis Due To Premature Closing Of The Sagittal Suture -- Shaoul And T
Physical examination revealed closed anterior fontanelle, scaphocephaly (long and narrow skull) (fig 1 ), frontal bossing, and two hair whorls.
http://adc.bmjjournals.com/cgi/content/extract/88/3/260

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Craniosynostosis due to premature closing of the sagittal suture
R Shaoul and A Toubi Departments of Pediatrics Bnai Zion Medical Center, Faculty of Medicine, Technion, Haifa, Israel; shaoul_r@netvision.net.il
Radiology, Bnai Zion Medical Center, Faculty of Medicine, Technion, Haifa, Israel Keywords: craniosynostosis; head circumference; sagittal suture The first 100% of the full text of this article appears below.

85. Craniosynostosis Due To Premature Closing Of The Sagittal Suture -- Shaoul And T
Physical examination revealed closed anterior fontanelle, scaphocephaly (long and scaphocephaly is sporadic and more common in males and may cause
http://adc.bmjjournals.com/cgi/content/full/88/3/260

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Craniosynostosis due to premature closing of the sagittal suture
R Shaoul and A Toubi Departments of Pediatrics Bnai Zion Medical Center, Faculty of Medicine, Technion, Haifa, Israel;
Radiology, Bnai Zion Medical Center, Faculty of Medicine, Technion, Haifa, Israel Keywords: craniosynostosis; head circumference; sagittal suture A 7 month old boy was admitted to our paediatric department revealed closed anterior fontanelle, scaphocephaly (long and

86. Craniosynostoses
front to back along the top of the skull) produces an elongated head, a deformity characterized as scaphocephaly. scaphocephaly (top and profile views)
http://www.craniofacial.org/craniosynostoses.htm
PREMATURE FUSION OF CRANIAL SUTURES Cranial sutures represent structures where the bones of the skull join each other to form the cranial vault. During the first year of life, the thrust of the rapidly growing brain exerts a separative force in a direction perpendicular to the intervening suture, resulting in normal growth of the skull. When growth is complete, the sutures gradually become fused. Occasionally cranial sutures fuse prematurely. This pathological condition causes a variety of disturbances, ranging from a mild deformity of the shape of the head, to much more severe deformities and functional problems which are likely to affect the child’s health and development. In synostosis of a single suture (although it is questionable that premature fusion of a single suture truly exists), growth is halted in the direction perpendicular to the suture involved. Because of this restriction, the continuing expansion of the brain pushes in a compensatory way other areas of the skull. A deformity develops which is specific of the obliteration of that particular suture. Premature fusion of one side of the coronal suture results in a deformity called plagiocephaly . On the side of the fusion the forehead is flat or even concave, and the orbit (the bones of the facial skeleton containing the eye) is displaced upwards. On the opposite side the forehead bulges abnormally. If this condition is not corrected early in life, the jaws may also become asymmetrical making surgical correction a much more complex undertaking.

87. The Infant Skull: A Vault Of Information -- Glass Et Al. 24 (2): 507 -- RadioGra
(a) Lateral skull radiograph shows anteroposterior elongation of the cranium (scaphocephaly). (b) Frontal skull radiograph shows that the fused sagittal
http://radiographics.rsnajnls.org/cgi/content/figsonly/24/2/507
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DOI: 10.1148/rg.242035105
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Pediatric Radiology
The Infant Skull: A Vault of Information
Ronald B. J. Glass, MD Sandra K. Fernbach, MD Karen I. Norton, MD Paul S. Choi, MD and Thomas P. Naidich, MD From the Department of Radiology, Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029 (R.B.J.G., K.I.N., P.S.C., T.P.N.); and the Department of Radiology, Evanston Hospital and Northwestern University, Evanston, Ill (S.K.F.). Recipient of a Certificate of Merit award for an education exhibit at the 2002 RSNA scientific assembly. Received April 14, 2003; revision requested June 3 and received July 18; accepted July 21. All authors have no financial relationships to disclose. Address correspondence to R.B.J.G. (e-mail:

88. Search By Disease
scaphocephaly. 34, scaphocephaly. 35, Scapuloperoneal syndrome, Xlinked. 36, Scheie syndrome. 37, Schizencephaly. 38, Schmid-Fraccaro syndrome
http://www.eddnal.com/directory/disease.php?letter=S&page=3

89. AAPS - 2005 Abstracts - Sagittal Craniosynostosis: Surgical Outcomes And Long-te
Conclusions In this series of patients, treated for scaphocephaly resulting from sagittal craniosynostosis, posterior remodeling resulted in normalization
http://www.aaps1921.org/2005Abstracts/27.cgi
Home About AAPS Membership Members Only ... Related Links 27. Sagittal Craniosynostosis: Surgical Outcomes and Long-term Growth Jeffrey A. Fearon, MD , Emily B. McLaughlin, MD , John C. Kolar, PhD
The Craniofacial Center, Dallas, TX, USA, Former Fellow, The Craniofacial Center, Dallas, TX, USA, Dallas Craniofacial Center, Dallas, TX, USA. Background: Numerous publications have examined technique-specific results in treating sagittal synostosis, but there is scant data examining long-term outcomes. This retrospective study was designed to evaluate a large series of surgically repaired children with sagittal craniosynostosis and to examine long-term cranial growth following correction. Methods: From 1990 to 2003, 132 children with sagittal synostosis were evaluated and 89 surgically treated (single-staged posterior remodeling) patients were retrospectively reviewed (43 excluded for multi-sutural involvement, incomplete records, or non-surgical treatment). The surgical technique did not vary per the age of the patient, and the correction resulted in an intact calvaria with no skull defects left unfilled. Long-term growth was assessed from anthropologic measurements taken from 3 - 11 years postoperatively (mean = 4.7 years). Results: Conclusions: In this series of patients, treated for scaphocephaly resulting from sagittal craniosynostosis, posterior remodeling resulted in normalization of the cephalic index without the need for a secondary procedure. This study demonstrated abnormal skull growth following surgical correction, with a tendency for the calvaria to revert towards scaphocephaly. Based on these findings, surgeons treating sagittal synostosis may wish to expand their goals of treatment beyond normalization, to an over-correction of the abnormal skull shape.

90. Plagiocephaly Press Page
The STARband™ is a cranial remoulding orthosis that corrects deformational plagiocephaly, deformational brachycephaly and deformational scaphocephaly.
http://www.plagiocephalyuk.co.uk/press.htm

Press Releases
14th April 2005

Over the past few years, an increasing number of babies have developed deformational plagiocephaly. Parents have largely been unaware that there is a safe and effective treatment available as most GPs and health visitors advise them that the condition will correct itself and that future hair growth will cover it. But if it is not corrected by the age of eighteen months, a flat head will remain for life, resulting in the possibility of teasing in childhood and lingering emotional distress in adulthood. There is some suggestion that medical problems such as eye, ear and jaw problems, as well as headaches, can arise as a result of an untreated head shape deformity. The clinic is housed in an established therapy centre, recently acquired by a new, dynamic team of therapists who are committed to excellence in patient care. The large, traditional house is close to the brand new Nuffield and BUPA hospitals and other private medical clinics. It is three miles from Leeds city centre on a main bus route. There is ample free on-street parking and the clinic has easy ground floor access. For those who have travelled a distance, the clinic is close to good restaurants and a local shopping centre. www.plagiocephalyUK.co.uk

91. Scaphocephalic Female Human Skull Bone Clones BC-193
Finland And titled Neurocognitive Sequelae of scaphocephaly , States. Early cranioplasty for scaphocephaly has become routine in most countries.
http://www.boneclones.com/BC-193.htm

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View Your Cart An excellent example of a condition in which the skull is abnormally long and narrow, as a result of premature closure of the sagittal suture, with heavy centers of ossification in the line of the suture; usually accompanied by inflammation and atrophy of the optic papillae. A custom display stand is available separately, see Associated Products below. A report in the PEDIATRICS Vol. 103 No. 4 April 1999 by Riitta Virtanen, MD*, Tapio Korhonen, PhD , Janita Fagerholm, MA , and Jouko Viljanto, MD, From the Departments of * Pediatric Surgery and Child Psychiatry, Turku University Central Hospital, Turku, Finland And titled: "Neurocognitive Sequelae of Scaphocephaly" , States: "Early cranioplasty for scaphocephaly has become routine in most countries. In addition to normalizing the shape of the skull, it has been found to decrease intracranial hypertension. Whether corrective surgery benefits the child's cognitive outcome has been poorly documented." The abstract goes on to say: "Results. Originally scaphocephalic children, although operated on, had mild deficiencies in auditory short-term memory and language development when examined with the general comprehension, similarities, and digit span subscales of the Wechsler Intelligence Scale for Children-Revised. In all other respects their developmental outcome was equal to that of the controls. Conclusions. Despite relative early correction of the skull shape, originally scaphocephalic children's neurocognitive performances do not reach the same level in all of the neurocognitive domains as their matched controls at school age. Early operation ( 1 month) may decrease this developmental delay. This implies that impairment of brain function has already taken place in utero. For the same reason an early operation seems to be justified not only for correction of the skull shape, but also to allow unrestricted development for the brain. Postponement of the operation would not serve either of these aims."

92. Dr. Shuster, Aesthetic Plastic Surgeon - South Florida - Credentials
Correction of scaphocephaly Following Ventricular Shunting. Plast. Reconstr. Surg. Correction of scaphocephaly Secondary to Ventricular Shunts.
http://www.drshuster.net/Home.asp?page=credentials

93. BioXRT: Table Browser
1, Chr2, 46, XY, t(2; 9)(q24.2; p24), autism, mental retardation, speech defect, scaphocephaly/dolichocephaly, behaviour disorder/hyperactivity/psychosis,
http://projects.tcag.ca/cgi-bin/autism/tbrowse/tbrowse?keyword=speech defect&sou

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