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Craniosynostosis as a risk factor

P Fehlow1

  • 1Landesfachkrankenhaus für Psychiatrie und Neurologie, Mühlhausen/Thüringen, Germany.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|September 1, 1993
PubMed
Summary
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Premature coronal synostosis, a condition where skull sutures close early, is linked to social adaptation disorders in patients. Early surgical intervention may improve outcomes for these individuals.

Area of Science:

  • Neuroscience
  • Plastic Surgery
  • Psychiatry

Background:

  • Craniosynostosis, the premature fusion of skull sutures, is an underrecognized factor potentially contributing to sociopathy.
  • This condition warrants consideration in the selection of patients for craniotomy.

Purpose of the Study:

  • To investigate the association between craniosynostosis and neuropsychiatric disorders, particularly disorders of social adaptation.
  • To evaluate the prevalence of craniosynostosis in a neuropsychiatric patient population and compare it to dolichocephaly.

Main Methods:

  • A retrospective analysis of 22,000 skulls from neuropsychiatric patients.
  • Identification and categorization of skulls with premature coronal synostosis and dolichocephaly.
  • Correlation of craniofacial anomalies with observed neuropsychiatric conditions and social adaptation issues.

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Main Results:

  • 100 out of 22,000 skulls exhibited premature coronal synostosis, versus 57 with dolichocephaly.
  • 37% of patients with coronal synostosis showed disorders of social adaptation, implicating frontal cortex functions.
  • Dolichocephalic patients demonstrated a higher prevalence of depressive states and cerebrovascular disease.

Conclusions:

  • Craniosynostosis is a significant risk factor impacting central nervous functions, social adaptation, and cerebral blood supply.
  • Craniofacial correction is indicated for cosmetic and psychosocial reasons, especially in girls with specific skull shapes and in Saethre-Chotzen syndrome.
  • Surgical techniques like orbito-frontosphenoidal osteotomy are recommended for craniotomy in premature synostosis cases to expand the anterior cranial fossa.