Masand M
Department of Paediatrics, Dr Gray's Hospital, Elgin, Morayshire, UK.
BMJ Case Rep. 2010 Oct 4;2010:bcr0520103026. doi: 10.1136/bcr.05.2010.3026.
This report concerns a 20-month-old boy, born at 31 weeks of gestation, being followed in the paediatric clinic because of prematurity. He was developing appropriately for his age and his head circumference was growing steadily (between the 75th and 90th centile), with weight and height on the 25th centile. An x-ray of his skull was performed at this stage because of his head shape, which was long and narrow (scaphocephalic)-in itself suggestive of sagittal synostosis. The x-ray confirmed the diagnosis. He was referred to a regional neurosurgical unit for further management. He had a successful surgical correction without major problems. It is to be emphasised that there is a higher morbidity and mortality if reconstructive surgery is not carried out at an early age, and therefore early diagnosis is vital in this congenital condition.
本报告涉及一名20个月大的男孩，他在孕31周时出生，因早产在儿科诊所接受随访。他的发育与年龄相符，头围稳步增长（处于第75至90百分位之间），体重和身高处于第25百分位。由于他的头型又长又窄（舟状头），本身提示矢状缝早闭，因此在此阶段对他进行了颅骨X光检查。X光检查确诊了病情。他被转诊至地区神经外科单位进行进一步治疗。他成功接受了手术矫正，没有出现重大问题。需要强调的是，如果不在早期进行重建手术，发病率和死亡率会更高，因此早期诊断对于这种先天性疾病至关重要。
