Division of Plastic Surgery.
Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, RI.
J Craniofac Surg. 2021 Oct 1;32(7):2452-2455. doi: 10.1097/SCS.0000000000007599.
Sagittal craniosynostosis results in scaphocephaly from abnormal fusion of the sagittal suture. Traditionally, craniosynostosis presents at birth and is diagnosed within the first year of life. The authors report a patient with development of sagittal craniosynostosis after birth, which we term postnatal sagittal craniosynostosis. This is a rare occurrence in which management considerations are critical but are not well discussed. A 3-year-old boy presented with concerns of a metopic ridge. Workup revealed metopic ridging and an open sagittal suture. The patient later developed signs of increased intracranial pressure and repeat computed tomography scan 14 months later identified a newly fused sagittal suture. The patient underwent open posterior cranial vault expansion, resulting in resolution of symptoms. Postnatal sagittal craniosynostosis is a rare condition and should be considered in otherwise unexplained increases in increased intracranial pressure among pediatric patients. Open posterior cranial vault expansion represents a safe and effective method to treat this condition.
矢状缝早闭导致矢状缝异常融合，从而导致斜头畸形。传统上，颅缝早闭在出生时出现，并在生命的第一年被诊断出来。作者报告了一例出生后发生矢状缝早闭的患者，我们将其称为产后矢状缝早闭。这种情况很少见，管理注意事项至关重要，但讨论得并不充分。一名 3 岁男孩因担心存在额缝而就诊。检查显示有额缝隆起和矢状缝未闭。后来该患者出现颅内压增高的迹象，14 个月后再次行计算机断层扫描显示矢状缝新融合。患者随后接受了开放性颅后窝扩大术，症状得到缓解。产后矢状缝早闭是一种罕见的情况，对于儿童患者中不明原因的颅内压增高，应考虑这种情况。开放性颅后窝扩大术是治疗这种疾病的一种安全有效的方法。
