Quantitative Analysis of Developmental Process of Cranial Suture in Korean Infants

Sim, Sook Young; Yoon, Soo Han; Kim, Sun Yong

doi:10.3340/jkns.2012.51.1.31

Cited by 18 publications

(13 citation statements)

References 20 publications

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“…Initiation of sagittal suture closure before the age of 5 months was not observed. At the age of 12 months, the mean closure rate (length of closed suture line/total length of suture line × 100) was 49.5% [12]. In our study, the closure rates varied from 29.7 to 100%, and the ages at the time of preoperative CTs from 0.13 to 1.13 years.…”

Section: Length Of Sagittal Suture Synostosismentioning

confidence: 45%

“…The 3D-CT normative data about ossification of sagittal suture in infants without synostosis are limited. Sim et al [12] evaluated suture closure in 243 infants aged less than 1 year who had undergone 3D-CT scans because of minor head trauma. Initiation of sagittal suture closure before the age of 5 months was not observed.…”

Section: Length Of Sagittal Suture Synostosismentioning

confidence: 99%

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Length of synostosis and segmented intracranial volume correlate with age in patients with non-syndromic sagittal synostosis

et al. 2017

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Section: Length Of Sagittal Suture Synostosismentioning

confidence: 45%

Section: Length Of Sagittal Suture Synostosismentioning

confidence: 99%

Length of synostosis and segmented intracranial volume correlate with age in patients with non-syndromic sagittal synostosis

et al. 2017

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“…The rate of suture fusion/closure varies according to the anatomical location. The metopic suture tends to fuse first between the ages of 3 months to 2 years, while the lambdoid, sagittal, and coronal suture may take up until the age of 40 before complete fusion [1]. However, head circumference growth typically slows down after 24 months of age but continues at a slow rate until adolescence [2].…”

Section: Discussionmentioning

confidence: 99%

Increasing Head Circumference from Hydrocephalus, Not Only in Young Children: Case Report of a 7-Year-Old

Chalil¹,

Lo²,

Ribaupierre³

2020

SCR

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Introduction: Increasing head circumference is a common presentation of hydrocephalus within the first 2 years of life but is extremely rare in older children or adults. Here, we present a rare case of rapidly increasing head circumference, as the sole symptom, as a new diagnosis of hydrocephalus in a 7-year-old boy, who then re-presented with an increasing head circumference at the time of a VPS malfunction a year later. Case: A 7-year-old was referred to neurosurgery for papilledema and increased headaches. The mother reports a rapidly increasing head circumference necessitating changes in hat size at least twice in the last few months. The CT gave the diagnosis of a Dandy-Walker spectrum malformation and hydrocephalus. A VPS was therefore inserted, with a stabilisation of his head circumference for a few months. He presented again with a rapidly increasing head circumference over the course of a few months, from 57 cm up to 59.5 cm, in the setting of progressive headaches consistent with increased ICP. The patient subsequently underwent a shunt valve replacement to improve CSF diversion. Methods: The patient was followed over 18 months from diagnosis to shunt revision, with MRI of the head. Volumetric measurements of the ventricles and head circumference are compared over the same time period. Conclusion: We present a unique case of increasing head circumference in a 7-year-old boy with Dandy Walker spectrum malformation, who then had another rapid increase almost two years later with a shunt dysfunction. To our knowledge, no similar cases of that age were reported in the literature.

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“…Lambdoid sutures tow G1and one G3. published series of 243 infants under 12 months of age who underwent three dimensional CT for quantitative analysis of developmental process of cranial suture in Korean infants utilized a similar grading classification, four suture closure grades (grade 0=no closure along the whole length, grade 1=partial or intermittent closure, grade 2=complete closure with visible suture line, grade 3=complete fusion (ossification) without visible suture line [14]. They aimed at understanding the pattern of sutural development in normal infants, and assist in diagnosis the of skull deformities such as craniosynostosis, skull fracture or increased intracranial pressure.…”

Section: Discussionmentioning

confidence: 99%

Grading System for Cranial Suture Closure in Early Craniosynostosis

Shamseldien¹,

Shehabeldien²,

Hendam³

2017

J Med - Clin Res & Rev

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Objective: Thirty patients early diagnosed within the first six months of age as primary craniosynostosis. Were operated by early suture release surgery endoscopic assisted suturectomy in neurosurgery department in Shebin Elkom Teaching hospital (2011-2016). The studied group 16 females 14 males all have primary craniosynostosis. 9 Brachycephaly, 7 scaphocephally, 4 anterior plagiocephaly, 4 trigonocephaly, 2 posterior plagiocephaly and 4 oxycephaly. 63.3% of patients presented with deformity alone. Other clinical presentations as manifestations of increased intracranial pressure (vomiting, irritable crying, and fits) and delayed milestones plus deformity was 30%, 6.7% respectively. The 3D CT volume rendering technique of all of them retrospectively studied, and Ectocranial skull suture closure grading system of Meindl and Lovejoy applied to 3D skull of the studied group as it simulate real time one. Of all patients 38 sutures was affected. After application of proposed grading 10 sutures G1, 16 sutures G2 and 12 sutures G3. Of coronal sutures 6 G1, 13G2, and 4G3. Of lambdoid sutures 2G1 and 1G3. Of metopic sutures 5 are G3. And of sagittal sutures 2G1, 3G2, and 2G3. Conclusion: Application of ectocranial skull suture closure grading system to 3D skull in early cases of primary craniosynostosis will help in precise diagnosis and surgical decision, as it demonstrate the degree of affected suture from single bony bridge that restrict or arrest suture growth in mild cases to completely obliterated one.

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Quantitative Analysis of Developmental Process of Cranial Suture in Korean Infants

Cited by 18 publications

References 20 publications

Length of synostosis and segmented intracranial volume correlate with age in patients with non-syndromic sagittal synostosis

Length of synostosis and segmented intracranial volume correlate with age in patients with non-syndromic sagittal synostosis

Increasing Head Circumference from Hydrocephalus, Not Only in Young Children: Case Report of a 7-Year-Old

Grading System for Cranial Suture Closure in Early Craniosynostosis

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