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A Child With Cleidocranial Dysplasia Presenting With Seizure Disorder
Sudipta Mohakud1, Amit Satapathy2, Subhakanta Patel2
1Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Insights
Cleidocranial dysplasia (CCD) is a rare skeletal disorder affecting bone ossification. This case highlights CCD diagnosis in a child presenting with seizures, emphasizing its varied clinical presentation.
Area of Science:
- Genetics and Developmental Biology
- Orthopedics and Skeletal Dysplasias
- Pediatric Neurology
Background:
- Cleidocranial dysplasia (CCD) is an autosomal dominant skeletal disorder characterized by defective ossification of membranous bones.
- Key features include skull and clavicle abnormalities, delayed fontanelle closure, and dental anomalies.
- CCD often remains undiagnosed until complications arise or it is incidentally discovered during investigations for other conditions.
Abstract:
Cleidocranial dysplasia (CCD) is a rare autosomal dominant disorder of membranous bones with characteristic radio-morphological manifestations. There is disordered ossification of the skull vault and the clavicle, leading to a wide-open anterior fontanelle, frontal bossing, persistent metopic suture, multiple wormian bones, and hypermobile shoulders. Other features are absent nasal bones, the presence of supernumerary teeth, absent ossification of the pubic rami causing pseudo-widening of the pubic symphysis, pseudo-epiphyses of metacarpals and metatarsals, short distal phalanges, and a bell-shaped thorax. CCD is a form of skeletal dysplasia that goes undetected until it presents with some of the associated complications or other diseases. We report the case of a seven-year-old girl presenting with seizure disorder to us, and a detailed clinico-radiological study showed CCD.
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