Lupescu I, Hermier M, Georgescu S A, Froment J C
Service de Radiologie, Hôpital Fundeni, Bucarest (Roumanie).
J Neuroradiol. 2000 Jun;27(2):128-39.
Craniosynostoses are defined as the premature closure of one or more sutures of the cranial bones. The resulting craniofacial deformities may be associated with neurologic complications owing to the disproportion between the growing brain and the limited content of the intracranial cavity. Plain skull radiographs are often contributive to the diagnosis. However, they may not be sufficient to detect early cases and to properly evaluate the more complex cases. Computed tomography has been proved to be more efficient in the pretherapeutic evaluation. The authors present here their results in the spiral computed tomographic evaluation of primary and syndromic craniosynostosis, based on a prospective series of 26 patients. The radiologic findings are presented. They have been found here to be similar to those previously described on sequential acquisitions. Spiral computed tomography was found to provide better information than did plain radiographs in 5 cases. The value of the helical acquisition as well as tridimensional reconstructions are discussed.
颅缝早闭被定义为颅骨的一条或多条缝线过早闭合。由于生长中的大脑与有限的颅内空间之间比例失调，由此产生的颅面畸形可能与神经系统并发症相关。普通颅骨X线平片通常有助于诊断。然而，它们可能不足以检测早期病例以及正确评估更复杂的病例。计算机断层扫描已被证明在治疗前评估中更有效。作者在此展示了他们基于26例患者的前瞻性系列研究，对原发性和综合征性颅缝早闭进行螺旋计算机断层扫描评估的结果。展示了放射学表现。在此发现它们与先前在连续采集时所描述的相似。发现螺旋计算机断层扫描在5例中比普通X线平片能提供更好的信息。讨论了螺旋采集以及三维重建的价值。
