Uzura Masahiko, Furuya Yu, Akashi Katsuya, Sekino Hiroaki
Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki-city, Kanagawa 216-8511, Japan.
Childs Nerv Syst. 2005 Jan;21(1):83-5. doi: 10.1007/s00381-004-0918-2. Epub 2004 Mar 12.
A 3-year-old girl was transferred to our hospital with a history of persistent open anterior fontanel. The patient was conscious and had no neurological deficits. Upon arrival, the patient appeared normal for her age and had no defects or anomalies other than the aforementioned lesion. The initial skull X-ray and CT were significant for a 20-mm open anterior fontanel. All other findings were normal.
After a follow-up period of 1.5 years, the anterior fontanel was still open, with a slight decrease in size to 15 mm. Delayed closure of the anterior fontanel without intracranial hypertension is associated with various disorders. The pathogenesis of the current patient's condition is unclear. Due to the patient's normal appearance and stable neurological status, we will follow her conservatively for any changes in condition.
一名3岁女童因前囟持续未闭被转至我院。患儿意识清醒，无神经功能缺损。入院时，患儿外观与其年龄相符，除上述病变外无其他缺陷或异常。最初的颅骨X线和CT检查显示前囟未闭达20毫米，其他所有检查结果均正常。
经过1.5年的随访，前囟仍未闭合，大小略有减小至15毫米。前囟延迟闭合且无颅内高压与多种疾病相关。目前该患儿病情的发病机制尚不清楚。由于患儿外观正常且神经状态稳定，我们将对其进行保守观察，以监测病情变化。
