Moore M H, Abbott A H, Netherway D J, Menard R, Hanieh A
Australian Craniofacial Unit, North Adelaide, Australia.
J Craniofac Surg. 1998 Sep;9(5):417-22. doi: 10.1097/00001665-199809000-00003.
A consistent pattern of craniosynostosis in the sagittal and bilateral lambdoid sutures is described in three patients. The external cranial ridging associated with fusion of these sutures produces a characteristic triradiate, or "Mercedes Benz," appearance to the posterior skull. Locally marked growth restriction is evident in the posterior fossa with compensatory secondary expansion of the anterior fossa manifesting a degree of frontal bossing which mimics bicoronal synostosis. Although this appearance could lead to inadvertent surgery in the frontal region, attention to the occipital region with wide early suture excision and vault shaping is indicated.
三名患者出现矢状缝和双侧人字缝早闭的一致模式。与这些缝线融合相关的颅外嵴形成使后颅骨呈现出特征性的三叉形或“梅赛德斯-奔驰”外观。后颅窝局部明显生长受限，前颅窝代偿性继发扩张，表现出一定程度的额部隆突，类似双冠状缝早闭。尽管这种表现可能导致在额部区域进行不必要的手术，但建议关注枕部区域，早期进行广泛的缝线切除和颅骨穹窿塑形。
