Furuya Y, Edwards M S, Alpers C E, Tress B M, Ousterhout D K, Norman D
J Neurosurg. 1984 Jul;61(1):53-8. doi: 10.3171/jns.1984.61.1.0053.
Knowledge of normal suture anatomy and development is vital in order to understand abnormal suture development and to be able to distinguish sutures radiographically from normal anatomical structures and possible skull fractures. The anatomy of the sutures and synchondroses of 150 normal pediatric and adult patients was studied using high-resolution computerized tomography scanning. Sutures of both the calvaria and skull base were most accurately identified in axial and coronal high-resolution thin-section scans when bone window algorithms were used. Developmental changes of the sutures and synchodroses , the inner and outer tables, and the diploic space were all well delineated. Vault sutures could be identified routinely in children, but their presence in adults varied considerably. With increasing age, parasutural sclerosis developed and sutures were more closely apposed.
了解正常的缝解剖结构和发育对于理解异常的缝发育以及能够在放射影像上区分缝与正常解剖结构和可能的颅骨骨折至关重要。使用高分辨率计算机断层扫描对150例正常儿童和成人患者的缝和软骨结合的解剖结构进行了研究。当使用骨窗算法时，在轴向和冠状高分辨率薄层扫描中，颅盖和颅底的缝最能准确识别。缝和软骨结合、内外板以及板障间隙的发育变化都得到了很好的描绘。儿童的穹窿缝通常可以识别，但在成人中的存在情况差异很大。随着年龄的增长，缝旁硬化出现，缝更加紧密贴合。
