Leptocephaly

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Leptocephaly
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Leptocephaly in a male patient with intellectual disability and occipital broadening

Leptocephaly is a rare form of complex craniosynostosis (usually considered a form of scaphocephaly) in which the sagittal and metopic suture simultaneously close. [1] [2] [3] Leptocephaly is characterized by equal narrowing of the head (from full sagittal fusion) and a tall and narrow (rather than long) head shape. [4] [5] [6] [7] Leptocephaly is usually nonsyndromic, but has been seen in individual cases such as Neu-Laxova syndrome. [8] [9]

Contents

The term leptocephaly has also been used (erroneously) to refer to microcephaly. [10]

See also

Related Research Articles

<span class="mw-page-title-main">Say–Meyer syndrome</span> X-linked recessive disorder characterised by developmental delay

Say–Meyer syndrome is a rare X-linked genetic disorder that is mostly characterized as developmental delay. It is one of the rare causes of short stature. It is closely related with trigonocephaly. People with Say–Meyer syndrome have impaired growth, deficits in motor skills development and mental state.

<span class="mw-page-title-main">Turricephaly</span> Medical condition

Turricephaly is a type of cephalic disorder where the head appears tall with a small length and width. It is due to premature closure of the coronal suture plus any other suture, like the lambdoid, or it may be used to describe the premature fusion of all sutures. It should be differentiated from Crouzon syndrome. Oxycephaly is a form of turricephaly where the head is cone-shaped, and is the most severe of the craniosynostoses.

<span class="mw-page-title-main">Plagiocephaly</span> Medical condition

Plagiocephaly, also known as flat head syndrome, is a condition characterized by an asymmetrical distortion of the skull. A mild and widespread form is characterized by a flat spot on the back or one side of the head caused by remaining in a supine position for prolonged periods.

<span class="mw-page-title-main">Scaphocephaly</span> Cephalic disorder involving premature fusion of the sagittal suture

Scaphocephaly, or sagittal craniosynostosis, is a type of cephalic disorder which occurs when there is a premature fusion of the sagittal suture. Premature closure results in limited lateral expansion of the skull resulting in a characteristic long, narrow head. The skull base is typically spared.

<span class="mw-page-title-main">Trigonocephaly</span> Congenital condition of premature fusion of the metopic suture

Trigonocephaly is a congenital condition due to premature fusion of the metopic suture, leading to a triangular forehead. The premature merging of the two frontal bones leads to transverse growth restriction and parallel growth expansion. It may occur as one component of a syndrome together with other abnormalities, or in isolated form. The term is from the Greek trigonon, "triangle", and kephale, "head".

Crouzon syndrome is an autosomal dominant genetic disorder known as a branchial arch syndrome. Specifically, this syndrome affects the first branchial arch, which is the precursor of the maxilla and mandible. Since the branchial arches are important developmental features in a growing embryo, disturbances in their development create lasting and widespread effects.

<span class="mw-page-title-main">Apert syndrome</span> Congenital disorder of the skull and digits

Apert syndrome is a form of acrocephalosyndactyly, a congenital disorder characterized by malformations of the skull, face, hands and feet. It is classified as a branchial arch syndrome, affecting the first branchial arch, the precursor of the maxilla and mandible. Disturbances in the development of the branchial arches in fetal development create lasting and widespread effects.

<span class="mw-page-title-main">Craniosynostosis</span> Premature fusion of bones in the skull

Craniosynostosis is a condition in which one or more of the fibrous sutures in a young infant's skull prematurely fuses by turning into bone (ossification), thereby changing the growth pattern of the skull. Because the skull cannot expand perpendicular to the fused suture, it compensates by growing more in the direction parallel to the closed sutures. Sometimes the resulting growth pattern provides the necessary space for the growing brain, but results in an abnormal head shape and abnormal facial features. In cases in which the compensation does not effectively provide enough space for the growing brain, craniosynostosis results in increased intracranial pressure leading possibly to visual impairment, sleeping impairment, eating difficulties, or an impairment of mental development combined with a significant reduction in IQ.

Craniofacial surgery is a surgical subspecialty that deals with congenital and acquired deformities of the head, skull, face, neck, jaws and associated structures. Although craniofacial treatment often involves manipulation of bone, craniofacial surgery is not tissue-specific; craniofacial surgeons deal with bone, skin, nerve, muscle, teeth, and other related anatomy.

<span class="mw-page-title-main">Carpenter syndrome</span> Medical condition

Carpenter syndrome, also called acrocephalopolysyndactyly type II, is an extremely rare autosomal recessive congenital disorder characterized by craniofacial malformations, obesity, syndactyly, and polydactyly. Acrocephalopolysyndactyly is a variation of acrocephalosyndactyly that presents with polydactyly.

<span class="mw-page-title-main">Frontal suture</span> Midline joint in the frontal bone of the forehead

The frontal suture is a fibrous joint that divides the two halves of the frontal bone of the skull in infants and children. Typically, it completely fuses between three and nine months of age, with the two halves of the frontal bone being fused together. It is also called the metopic suture, although this term may also refer specifically to a persistent frontal suture.

<span class="mw-page-title-main">Sagittal suture</span> Midline joint between the parietal bones of the skull

The sagittal suture, also known as the interparietal suture and the sutura interparietalis, is a dense, fibrous connective tissue joint between the two parietal bones of the skull. The term is derived from the Latin word sagitta, meaning arrow.

<span class="mw-page-title-main">Jackson–Weiss syndrome</span> Medical condition

Jackson–Weiss syndrome (JWS) is a genetic disorder characterized by foot abnormalities and the premature fusion of certain bones of the skull (craniosynostosis), which prevents further growth of the skull and affects the shape of the head and face. This genetic disorder can also sometimes cause intellectual disability and crossed eyes. It was characterized in 1976.

<span class="mw-page-title-main">Spigelian hernia</span> Surgical condition

A Spigelian is the type of ventral hernia where aponeurotic fascia pushes through a hole in the junction of the linea semilunaris and the arcuate line creating a bulge. It appears in the abdomen lower quadrant between an area of dense fibrous tissue and abdominal wall muscles causing a.

Copenhagen disease, sometimes known as Copenhagen syndrome or progressive non-infectious anterior vertebral fusion (PAVF), is a very rare childhood spinal disorder of unknown cause, with distinctive radiological features. It is characterized by the progressive fusion of the anterior vertebral body in the thoracolumbar region of the spine.

<span class="mw-page-title-main">Acrocephalosyndactyly</span> Group of diseases

Acrocephalosyndactyly is a group of congenital conditions characterized by irregular features of the face and skull (craniosynostosis) and hands and feet (syndactyly). Craniosynostosis occurs when the cranial sutures, the fibrous tissue connecting the skull bones, fuse the cranial bones early in development. Cranial sutures allow the skull bones to continue growing until they fuse at age 24. Premature fusing of the cranial sutures can result in alterations to the skull shape and interfere with brain growth. Syndactyly occurs when digits of the hands or feet are fused together. When polydactyly is also present, the classification is acrocephalopolysyndactyly. Polydactyly occurs when the hands or feet possess additional digits. Acrocephalosyndactyly is usually diagnosed after birth, although prenatal diagnosis is sometimes possible if the genetic variation is present in family members, as the conditions are typically inherited in an autosomal dominant pattern Treatment often involves surgery in early childhood to correct for craniosynostosis and syndactyly.

<span class="mw-page-title-main">Fibrous joint</span> Fixed joints between bones held together by dense, fibrous tissue

In anatomy, fibrous joints are joints connected by fibrous tissue, consisting mainly of collagen. These are fixed joints where bones are united by a layer of white fibrous tissue of varying thickness. In the skull the joints between the bones are called sutures. Such immovable joints are also referred to as synarthroses.

<span class="mw-page-title-main">Muenke syndrome</span> Medical condition

Muenke syndrome, also known as FGFR3-related craniosynostosis, is a human specific condition characterized by the premature closure of certain bones of the skull during development, which affects the shape of the head and face. First described by Maximilian Muenke, the syndrome occurs in about 1 in 30,000 newborns. This condition accounts for an estimated 8 percent of all cases of craniosynostosis.

<span class="mw-page-title-main">McGillivray syndrome</span> Medical condition

McGillivray syndrome is a rare syndrome characterized mainly by heart defects, skull and facial abnormalities and ambiguous genitalia. The symptoms of this syndrome are ventricular septal defect, patent ductus arteriosus, small jaw, undescended testes, and webbed fingers. Beside to these symptoms there are more symptoms which is related with bone structure and misshape.

Neu–Laxova syndrome is a rare autosomal recessive disorder characterized by severe intrauterine growth restriction and multiple congenital malformations. Neu–Laxova syndrome is a very severe disorder, leading to stillbirth or death shortly after birth. It was first described by Dr. Richard Neu in 1971 and Dr. Renata Laxova in 1972 as a lethal disorder in siblings with multiple malformations. Neu–Laxova syndrome is an extremely rare disorder with less than 100 cases reported in medical literature.

References

  1. Vinchon, Matthieu; Pellerin, Philippe; Guerreschi, Pierre; Baroncini, Marc; Dhellemmes, Patrick (2012-09-01). "Atypical scaphocephaly: a review". Child's Nervous System. 28 (9): 1319–1325. doi:10.1007/s00381-012-1807-8. ISSN   1433-0350. PMID   22872243. S2CID   24212027.
  2. Vinchon, M. (2019-11-01). "The metopic suture: Natural history". Neurochirurgie. 65 (5): 239–245. doi: 10.1016/j.neuchi.2019.09.006 . ISSN   0028-3770. PMID   31562880. S2CID   203592453.
  3. Sear, H. R. (June 1937). "Some Notes on Craniostenosis". The British Journal of Radiology. 10 (114): 445–487. doi:10.1259/0007-1285-10-114-445. ISSN   0007-1285.
  4. Skadorwa, Tymon; Skadorwa, Joanna; Wierzbieniec, Olga (2023). "The Accuracy of Classification Systems in Nonsyndromic Sagittal Craniosynostosis". Journal of Craniofacial Surgery: 10.1097/SCS.0000000000009670. doi: 10.1097/SCS.0000000000009670 . ISSN   1049-2275. PMC   10749678 . PMID   37639642. S2CID   261326729.
  5. Muenke, Maximilian; Kress, Wolfram; Collmann, Hartmut; Solomon, Benjamin (2011). Craniosynostoses: Molecular Genetics, Principles of Diagnosis and Treatment. Karger Medical and Scientific Publishers. ISBN   978-3-8055-9594-0.
  6. Kim, Hyun Jeong; Roh, Hong Gee; Lee, Il Woo (2016-05-10). "Craniosynostosis : Updates in Radiologic Diagnosis". Journal of Korean Neurosurgical Society. 59 (3): 219–226. doi:10.3340/jkns.2016.59.3.219. PMC   4877543 . PMID   27226852.
  7. Ilangovan, G.; RAVOORU, N.; Balaganesan, H. (2020-01-12). "Craniosynostosis- Fusional Mismatch!". ECR 2020 EPOS. Retrieved 2023-10-15.
  8. Captier, Guillaume (February 2008). "Identifying Reproducible Patterns of Calvarial Dysmorphology in Nonsyndromic Sagittal Craniosynostosis May Affect Operative Intervention and Outcomes Assessment". Plastic and Reconstructive Surgery. 121 (2): 335–336. doi: 10.1097/01.prs.0000294949.41575.52 . ISSN   0032-1052. PMID   18176241.
  9. Hirota, Toru; Hirota, Yoko; Asagami, Chidori; Muto, Masahiko (March 1998). "A Japanese Case of Neu-Laxova Syndrome". The Journal of Dermatology. 25 (3): 163–166. doi:10.1111/j.1346-8138.1998.tb02373.x. PMID   9575678. S2CID   7896890.
  10. "leptocephalic", The Free Dictionary, retrieved 2023-10-15