Balyen L, Deniz Balyen L S, Pasa S
Department of Ophthalmology, Baglar Hospital, Diyarbakir, Turkey.
Department of Internal Disease, Diyarbakir Selahaddin Eyyubi State Hospital, Diyarbakir, Turkey.
Oman J Ophthalmol. 2017 May-Aug;10(2):120-122. doi: 10.4103/0974-620X.209111.
Crouzon syndrome (CS) is an genetic disorder with autosomal dominant inheritance caused by mutation of the gene for fibroblast growth factor receptor 2 (FGFR2) was described as one of the varieties of craniosynostosis. In this presented case, premature closure of the sutures had caused restricted skull growth and lack of space for the growing brain resulted to shallowed eyes and cranial and ophthalmic deformities and impairment in tooth development. Management of a patient of CS has two components. First is the release of prematurely fused sutures based on evidence of raised intracranial pressure. Surgery is mainly carried out early after 3-6 months. Second is the craniofacial reconstructive surgery including advancement of the maxilla and frontonasal complex; and other surgeries depending upon the deformities. An increased intracranial pressure impairs brain development and can lead to mental retardation. Because of the delayed diagnosis and treatment in this case, visual and hearing loses and decreased mental capacity and mild retardation.
克鲁宗综合征(CS)是一种常染色体显性遗传的基因紊乱疾病,由成纤维细胞生长因子受体2(FGFR2)基因的突变引起,被描述为颅缝早闭的一种类型。在本病例中,缝线过早闭合导致颅骨生长受限,生长中的大脑缺乏空间,进而导致眼球凹陷、颅骨和眼部畸形以及牙齿发育受损。CS患者的治疗有两个方面。首先是根据颅内压升高的证据松解过早融合的缝线。手术主要在3至6个月后尽早进行。其次是颅面重建手术,包括上颌骨和额鼻复合体的前移;以及根据畸形情况进行的其他手术。颅内压升高会损害大脑发育并可能导致智力迟钝。由于该病例诊断和治疗延迟,出现了视力和听力丧失、智力下降以及轻度智力迟钝。