Atypical Craniosynostosis with Torticollis and Neurological Symptoms: A Rhombencephalosynapsis Sequence
Purpose. We describe a case of 3-year-old girl with rhombencephalosynapsis, a rare cerebellar anomaly. Patient. A 3-year-old girl was admitted to our hospital due to congenital torticollis and asymmetry of face, skull and trunk. Craniosynostosis was suspected due to abnormal head shape. 3D-CT revea...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/919463 |
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| author | Virve Koljonen Junnu Leikola Leena Valanne Jyri Hukki |
| author_facet | Virve Koljonen Junnu Leikola Leena Valanne Jyri Hukki |
| author_sort | Virve Koljonen |
| collection | DOAJ |
| description | Purpose. We describe a case of 3-year-old girl with rhombencephalosynapsis, a rare cerebellar anomaly. Patient. A 3-year-old girl was admitted to our hospital due to congenital torticollis and asymmetry of face, skull and trunk. Craniosynostosis was suspected due to abnormal head shape. 3D-CT revealed closure of the sagittal suture without scaphocephalic skull. Due to atypical craniosynostosis with neurological symptoms, brain-MRI was performed revealing rhombencephalosynapsis. Results. Our patient presented with atypical craniosynostosis and balance problems, not typical for scaphocephaly. Operative treatment for craniosynotosis was not carried out because the cause of the problems was the cerebellum instead of the brain. Conclusions. Therefore, we conclude that patients with atypical craniosynostosis should be examined with brain-MRI to exclude the intracranial malformations, which 3D-CT does not reveal. Without brain-MRI, decision (not) to perform surgery could have been different. |
| format | Article |
| id | doaj-art-db203e94e6fb4bfcbd391e890ed6aea1 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-db203e94e6fb4bfcbd391e890ed6aea12025-02-03T01:07:21ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/919463919463Atypical Craniosynostosis with Torticollis and Neurological Symptoms: A Rhombencephalosynapsis SequenceVirve Koljonen0Junnu Leikola1Leena Valanne2Jyri Hukki3Department of Plastic Surgery, Helsinki University Hospital, 00029 Helsinki, FinlandDepartment of Plastic Surgery, Helsinki University Hospital, 00029 Helsinki, FinlandHelsinki Medical Imaging Centre, Department of Radiology, Helsinki University Hospital, 00029 Helsinki, FinlandCleft Lip and Palate and Craniofacial Centre, Department of Plastic Surgery, Helsinki University Hospital, 00029 Helsinki, FinlandPurpose. We describe a case of 3-year-old girl with rhombencephalosynapsis, a rare cerebellar anomaly. Patient. A 3-year-old girl was admitted to our hospital due to congenital torticollis and asymmetry of face, skull and trunk. Craniosynostosis was suspected due to abnormal head shape. 3D-CT revealed closure of the sagittal suture without scaphocephalic skull. Due to atypical craniosynostosis with neurological symptoms, brain-MRI was performed revealing rhombencephalosynapsis. Results. Our patient presented with atypical craniosynostosis and balance problems, not typical for scaphocephaly. Operative treatment for craniosynotosis was not carried out because the cause of the problems was the cerebellum instead of the brain. Conclusions. Therefore, we conclude that patients with atypical craniosynostosis should be examined with brain-MRI to exclude the intracranial malformations, which 3D-CT does not reveal. Without brain-MRI, decision (not) to perform surgery could have been different.http://dx.doi.org/10.1155/2009/919463 |
| spellingShingle | Virve Koljonen Junnu Leikola Leena Valanne Jyri Hukki Atypical Craniosynostosis with Torticollis and Neurological Symptoms: A Rhombencephalosynapsis Sequence Case Reports in Medicine |
| title | Atypical Craniosynostosis with Torticollis and Neurological Symptoms: A Rhombencephalosynapsis Sequence |
| title_full | Atypical Craniosynostosis with Torticollis and Neurological Symptoms: A Rhombencephalosynapsis Sequence |
| title_fullStr | Atypical Craniosynostosis with Torticollis and Neurological Symptoms: A Rhombencephalosynapsis Sequence |
| title_full_unstemmed | Atypical Craniosynostosis with Torticollis and Neurological Symptoms: A Rhombencephalosynapsis Sequence |
| title_short | Atypical Craniosynostosis with Torticollis and Neurological Symptoms: A Rhombencephalosynapsis Sequence |
| title_sort | atypical craniosynostosis with torticollis and neurological symptoms a rhombencephalosynapsis sequence |
| url | http://dx.doi.org/10.1155/2009/919463 |
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