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Craniosynostosis, a condition in which the sutures of the head (joints between the bones of the skull) prematurely fuse and subsequently alter the shape of the head, is seen in multiple conditions, as listed below. The level of involvement varies by condition and can range from minor, single-suture craniosynostosis to major, multisutural craniosynostosis.
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
3MC syndrome | Spectrum of 4 syndromes: Carnevale, Mingarelli, Malpuech, and Michels. | [1] [2] | |||
8q22.1 microdeletion syndrome | Microcephaly | [3] | |||
15q overgrowth syndrome | Macrocephaly; not seen in all cases. | [4] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Acrocephalopolydactyly | Oxycephaly | [5] | |||
Acrocephalosyndactyly type I | Coronal, sagittal | Acrobrachycephaly, brachycephaly, brachyturricephaly | Characterized by syndactyly of fingers and toes; usually known as Apert syndrome. | [6] | |
Acrocephalosyndactyly type IV | Oxycephaly | Usually known as Goodman syndrome; now classified as Carpenter syndrome variant. | [7] [8] | ||
Acrocephalopolysyndactyly type III | Usually known as Sakati-Nyhan-Tisdale syndrome. | [9] | |||
Acrocraniofacial dysostosis | Oxycephaly | [10] | |||
Adducted thumb | Microcephaly | [11] | |||
Agammaglobulinemia-microcephaly-craniosynostosis-severe dermatitis syndrome | Microcephaly | [12] | |||
Aneurysm-osteoarthritis syndrome | Usually classified as LDS type 1C. | [13] | |||
Antley-Bixler syndrome | Coronal | Brachycephaly, cloverleaf skull | Macrocephaly or microcephaly | [14] [15] | |
Aprosencephaly cerebellar dysgenesis | [16] | ||||
Arthrogryposis, cleft palate, craniosynostosis, and impaired intellectual development (ACCIID) | Plagiocephaly, trigonocephaly | [17] | |||
Aurocephalosyndactyly | [18] | ||||
Autosomal dominant intellectual disability-craniofacial anomalies-cardiac defects syndrome | Plagiocephaly | Microcephaly | [19] | ||
Autosomal recessive osteopetrosis (TCIRG1) | Macrocephaly | [20] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Baller-Gerold syndrome | Sagittal, coronal | Brachyturricephaly | [21] | ||
Beare-Stevenson cutis gyrata syndrome | Cloverleaf skull | [22] | |||
Bent bone dysplasia syndrome | Coronal | [23] | |||
Bonnemann-Meinecke-Reich syndrome | Described in 2 sets of siblings in 2 different families; last reported 1991. | [24] | |||
Brachyphalangy, polydactyly, and tibial aplasia/hypoplasia | Microcephaly | [25] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Cardiocranial syndrome, Pfeiffer type | Sagittal | [26] | |||
Carpenter syndrome | Coronal, sagittal | Brachycephaly, oxycephaly, trigonocephaly | Also classified as Acrocephalopolysyndactyly type II. | [27] [28] [29] | |
CEBALID syndrome | Brachycephaly, dolichocephaly, plagiocephaly, platystencephaly, turricephaly | [30] | |||
Cerebrooculonasal syndrome | Brachycephaly | Macrocephaly | [31] | ||
Char syndrome | [32] | ||||
Childhood hypophosphatasia | Dolichocephaly | [33] | |||
Chromosome 5p13 duplication syndrome | Brachycephaly, turricephaly | Macrocephaly | [34] | ||
Cloverleaf skull syndrome | Cloverleaf skull | Usually considered to be an isolated form. | [35] | ||
Cloverleaf skull-asphyxiating thoracic dysplasia syndrome | Cloverleaf skull | Last case reported in 1987. | [36] | ||
Cloverleaf skull-multiple congenital anomalies syndrome | Cloverleaf skull | Seen in 3 siblings from 1 family. | [37] | ||
Contractures, pterygia, and spondylocarpotarsal fusion syndrome | Microcephaly | [38] | |||
Cole-Carpenter syndrome | Coronal | Turricephaly | Macrocephaly | [39] [40] [41] | |
Cranioectodermal dysplasia | Metopic, sagittal | Cloverleaf skull, dolichocephaly/scaphocephaly, plagiocephaly | Macrocephaly | [42] [43] [44] [45] [46] | |
Craniofacial dysmorphism, skeletal anomalies, and impaired intellectual development | Brachycephaly | Macrocephaly or microcephaly | [47] | ||
Craniofacial dyssynostosis | Lambdoid (bilateral), sagittal (posterior) | Brachycephaly, brachyturricephaly | [48] | ||
Craniofacial dysplasia - osteopenia syndrome | Brachycephaly | [49] | |||
Craniofrontonasal dysplasia-Poland anomaly syndrome | Less than 10 known cases described. | [50] | |||
Craniofrontonasal syndrome | Coronal | Brachycephaly | [51] | ||
Craniorhiny | Oxycephaly/turricephaly | [52] | |||
Craniosynostosis, Boston type (MSX2) | Coronal | Brachycephaly, brachyturricephaly, trigonocephaly, turricephaly | Usually considered nonsyndromic. | [53] | |
Craniosynostosis (ALX4) | Susceptible cause; usually considered nonsyndromic. | [54] | |||
Craniosynstosis (ZIC1) | Brachycephaly, plagiocephaly, turricephaly | Can also feature delayed suture closure, microcephaly; usually considered nonsyndromic. | [55] | ||
Craniosynostosis (SMAD6) | Usually considered nonsyndromic. | [56] | |||
Craniosynostosis (TWIST1) | Coronal (right unicoronal), sagittal | Dolichocephaly/scaphocephaly, oxycephaly/turricephaly | Usually considered nonsyndromic. | [57] | |
Craniosynostosis (TCF12) | Coronal, sagittal | Usually considered nonsyndromic. | [58] | ||
Craniosynostosis (ERF) | Coronal, metopic, pansynostosis, sagittal | Macrocephaly; usually considered nonsyndromic. | [59] | ||
Craniosynostosis and dental anomalies | Coronal, metopic, sagittal | Brachycephaly, dolichocephaly/scaphocephaly, oxycephaly/turricephaly, trigonocephaly | [60] | ||
Craniosynostosis with anomalies of the cranial base and digits | [61] | ||||
Craniosynostosis with ocular abnormalities and hallucal defects | [62] | ||||
Craniosynostosis, Adelaide type | [63] | ||||
Craniosynostosis, Philadelphia type | Sagittal | Dolichocephaly | Variable sagittal craniosynostosis penetrance. | [64] | |
Craniosynostosis-anal anomalies-porokeratosis syndrome | Coronal, sagittal | Brachycephaly | [65] | ||
Craniosynostosis-Dandy-Walker malformation-hydrocephalus syndrome | Sagittal | Dolichocephaly | [66] | ||
Craniosynostosis-fibular aplasia syndrome | [67] | ||||
Craniosynostosis-hydrocephalus-Arnold-Chiari malformation type I-radioulnar synostosis syndrome | Sagittal | Scaphocephaly | [68] | ||
Craniosynostosis-intellectual disability syndrome of 51N and Gettig | [69] | ||||
Craniosynostosis-intellectual disability-clefting syndrome | Microcephaly | [70] | |||
Craniosynostosis-intracranial calcifications syndrome | Microcephaly | [71] | |||
Craniotelencephalic dysplasia | [72] | ||||
Crouzon syndrome | Coronal, sagittal | Brachycephaly | Also classified as Acrocephalosyndactyly type II. | [73] [74] | |
Crouzon syndrome-acanthosis nigricans syndrome | Brachycephaly | [75] | |||
Curry-Jones syndrome | Coronal (unilateral, sometimes bilateral) | [76] | |||
Cutis laxa, autosomal recessive, type 2E | [77] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
DEGCAGS syndrome | Plagiocephaly | Microcephaly | [78] | ||
Developmental delay with short stature, dysmorphic facial features, and sparse hair | Scaphocephaly, trigonocephaly | [79] | |||
Distal 10q deletion syndrome | Dolichocephaly | Microcephaly | [80] | ||
Distal monosomy 7p | [81] | ||||
Distal trisomy 1p36 | Metopic | Microcephaly | [82] | ||
Distal trisomy 5q | Microcephaly | [83] | |||
Distal symphalangism | [84] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Ehlers-Danlos syndrome, spondylodysplastic type | Macrocephaly | [85] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Familial scaphocephaly syndrome, McGillivray type | Dolichocephaly | [86] | |||
Fontaine progeroid syndrome | Coronal | Brachycephaly, turricephaly | Microcephaly | [87] | |
Frontometaphyseal dysplasia | Part of oto-palato-digital syndrome spectrum | [88] | |||
Frontonasal dysplasia with alopecia and genital anomaly | Brachycephaly, plagiocephaly (anterior) | Microcephaly | [89] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Glass-Chapman-Hockley syndrome | Coronal | Only seen in a single family. | [90] | ||
Gomez Lopez Hernandez syndrome | Brachycephaly, turricephaly | [91] | |||
Greig cephalopolysyndactyly syndrome | Metopic | Dolichocephaly/scaphocephaly, trigonocephaly | Delayed suture closure, macrocephaly | [92] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Hartsfield-Bixler-Demyer syndrome | Microcephaly | [93] | |||
Holoprosencephaly-craniosynostosis syndrome | Coronal | [94] | |||
Hunter-McAlpine craniosynostosis | [95] | ||||
Hyper-IgE recurrent infection syndrome | Scaphocephaly | [96] [97] | |||
Hypogonadotropic hypogonadism (TCF12) | Coronal (bilateral) | Plagiocephaly (anterior) | [98] | ||
Hypomandibular faciocranial dysostosis | Coronal | [99] | |||
Hypophosphatemic rickets, autosomal recessive (DMP1) | [100] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
IMAGe syndrome | Macrocephaly | [101] | |||
Infantile hypophosphatasia | [102] | ||||
Intellectual developmental disorder with autistic features and language delay, with or without seizures | Microcephaly | [103] | |||
Intellectual disability, autosomal dominant (TLK2) | Microcephaly | [104] | |||
Intellectual disability, X-linked syndromic, Turner type (HUWE1) | Brachycephaly, trigonocephaly | Macrocephaly or microcephaly | [105] | ||
Intellectual disability-hypotonia-brachycephaly-pyloric stenosis-cryptorchidism syndrome | Brachycephaly | [106] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Jackson-Weiss syndrome | [107] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Larsen-like syndrome, B3GAT3 type | Brachycephaly | [108] | |||
Lethal occipital encephalocele-skeletal dysplasia syndrome | Brachycephaly | [109] | |||
Loeys-Dietz syndrome | Dolichocephaly | [110] [111] [112] [113] [114] | |||
Lowry-MacLean syndrome | Microcephaly | [115] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Mandibular prognathia | [116] | ||||
Marshall-Smith syndrome | Dolichocephaly | [117] | |||
Meier-Gorlin syndrome | Sagittal | Microcephaly (progressive) | [118] | ||
Metaphyseal acroscyphodysplasia | [119] | ||||
Metaphyseal chondrodysplasia-retinitis pigmentosa syndrome | Macrocephaly | [120] | |||
Microcephaly-micromelia syndrome | Microcephaly | [121] | |||
Monosomy 9q22.3 (microdeletion) | Metopic | Same characteristic features as Gorlin syndrome, including macrocephaly | [122] | ||
Mosaic variegated aneuploidy syndrome | Dolichocephaly | Microcephaly | [123] | ||
Mucolipidosis type II | Trigonocephaly | [124] | |||
Muenke syndrome | Coronal | Brachycephaly, plagiocephaly | Macrocephaly | [125] | |
Multiple congenital anomalies-neurodevelopmental syndrome, X-linked | Metopic | Macrocephaly or microcephaly | [126] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Neurodevelopmental disorder with microcephaly, seizures, and brain atrophy (NEDMISB) | Microcephaly | [127] | |||
Neurodevelopmental disorder with speech impairment and dysmorphic facies (NEDSID) | Macrocephaly | [128] | |||
Neurodevelopmental disorder-craniofacial dysmorphism-cardiac defect-hip dysplasia syndrome due to a point mutation | Dolichocephaly | [129] | |||
Noonan syndrome-like disorder with loose anagen hair (PPP1CB) | Macrocephaly (relative) | [130] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Obesity-colitis-hypothyroidism-cardiac hypertrophy-developmental delay syndrome | Described in 2 brothers, one of whom died within a month of birth. | [131] | |||
Osteoglophonic dysplasia | Cloverleaf skull | Mild cloverleaf skull presentation closer to a more tower-shaped skull. | [132] | ||
Osteosclerosis, Stanescu type | Brachycephaly | Microcephaly | [133] | ||
Osteosclerosis-developmental delay-craniosynostosis syndrome | Brachycephaly | Macrocephaly; described in 13 patients from a four-generation family. | [134] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Parenti-Mignot neurodevelopmental syndrome | [135] | ||||
Peters plus syndrome | Macrocephaly or microcephaly | [136] | |||
Pfeiffer syndrome | Coronal | Brachyturricephaly, cloverleaf skull | Also classified as Acrocephalosyndactyly type V. | [137] | |
Potocki-Shaffer syndrome | Brachycephaly, turricephaly | [138] | |||
Progeroid and marfanoid aspect-lipodystrophy syndrome | Scaphocephaly | Macrocephaly | [139] | ||
Pseudo-Hurler polydystrophy | [140] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Rahman syndrome | Macrocephaly | [141] | |||
Rienhoff syndrome | Brachycephaly, dolichocephaly | Usually classified as LDS type 5. | [142] | ||
Roberts-SC phocomelia syndrome | Brachycephaly | Microcephaly | [143] | ||
Robinow-Sorauf syndrome | Pansynostosis | Plagiocephaly | Now classified as a variant of SCS. | [144] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Saethre-Chotzen syndrome | Coronal | Brachycephaly, oxycephaly, plagiocephaly | Delayed suture closure; also classified as Acrocephalosyndactyly type III. | [145] | |
Saldino-Mainzer syndrome | Scaphocephaly, trigonocephaly | Microcephaly | [146] | ||
Shprintzen-Goldberg syndrome | Dolichocephaly, brachyturricephaly | Microcephaly | [147] | ||
SLC39A8-CDG | [148] | ||||
Spondyloepiphyseal dysplasia, Nishimura type | [149] | ||||
Structural brain anomalies with impaired intellectual development and craniosynostosis | Coronal | Brachycephaly | Microcephaly | [150] | |
Summitt syndrome | Oxycephaly | Last reported 1979; now classified as Carpenter syndrome variant. | [151] [152] [153] | ||
Syndactyly type 1 (2q35 duplication) | Sagittal | [154] | |||
Syndactyly-telecanthus-anogenital and renal malformations syndrome | [155] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Thanatophoric dysplasia | Cloverleaf skull | Macrocephaly | [156] [157] [158] | ||
Tolchin-Le Caignec syndrome | Scaphocephaly, oxycephaly | Large head circumference | [159] | ||
Trigonocephaly (FGFR1) | Metopic | Trigonocephaly | Microcephaly; usually considered nonsyndromic. | [160] | |
Trigonocephaly (FREM1) | Metopic | Trigonocephaly | Microcephaly; usually considered nonsyndromic. | [161] | |
Trigonocephaly-broad thumbs syndrome | Trigonocephaly | Described in a mother and son. | [162] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
Van den Ende-Gupta syndrome | Scaphocephaly | [163] |
Condition | Image | Impacted sutures | Cranial shape | Notes | Sources |
---|---|---|---|---|---|
ZTTK syndrome | Macrocephaly (can be relative) | [164] |
Macrocephaly is a condition in which circumference of the human head is abnormally large. It may be pathological or harmless, and can be a familial genetic characteristic. People diagnosed with macrocephaly will receive further medical tests to determine whether the syndrome is accompanied by particular disorders. Those with benign or familial macrocephaly are considered to have megalencephaly.
Brachycephaly is the shape of a skull shorter than average in its species. It is perceived as a cosmetically desirable trait in some domesticated dog and cat breeds, notably the pug and Persian, and can be normal or abnormal in other animal species.
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.
Exophthalmos is a bulging of the eye anteriorly out of the orbit. Exophthalmos can be either bilateral or unilateral. Complete or partial dislocation from the orbit is also possible from trauma or swelling of surrounding tissue resulting from trauma.
Tsukuhara syndrome, also known as Radioulnar synostosis-microcephaly-scoliosis syndrome is an infrequently occurring genetic skeletal dysplasia which is characterized by a combination of radioulnar synostosis, microcephaly, scoliosis, short height, and intellectual disabilities. Only 13 cases worldwide have been described in medical literature.
Eiken syndrome, also known as "Eiken skeletal dysplasia", is a rare autosomal bone dysplasia with a skeletal phenotype which has been described in a unique consanguineous family, where it segregates as a recessive trait. First described in 1985, the syndrome primarily affects the development of bones, leading to short stature, long limbs, and joint dislocations. Eiken syndrome is caused by mutations in the PTH1R gene, located on chromosome 3, and is involved in skeletal development.
Kleeblattschaedel is a rare malformation of the head where there is a protrusion of the skull and broadening of the face. This condition is a severe type of craniosynostosis.
Anophthalmia megalocornea cardiopathy skeletal anomalies syndrome is an extremely rare multi-systemic genetic disorder which is characterized by congenital ocular, muscular, and heart abnormalities. It was first described in the children of a consanguineous couple, and it is thought to be autosomal recessive disorder with variable expressity. No new cases have been described in medical literature since 1992.
Cleft palate short stature vertebral anomalies, also known as Mathieu-De Broca-Bony syndrome, is a very rare multi-systemic genetic disorder which is characterized by congenital cleft palate, facial dysmorphisms, short stature and neck, vertebral abnormalities and intellectual disabilities. It is thought to be inherited in an autosomal dominant fashion.
Aortic arch anomaly - peculiar facies - intellectual disability is a rare, genetic, congenital developmental anomaly that is characterized by heart abnormalities, cranio-facial dysmorphia, and intellectual disabilities. No new cases have been reported since 1968.
Wormian bone-multiple fractures-dentinogenesis imperfecta-skeletal dysplasia syndrome is a rare genetic bone disorder which is characterized by the presence of wormian bones in the skull, dentinogenesis imperfecta, recurrent bone fractures, hypertelorism, and eye puffiness. This disorder is unique from osteogenesis imperfecta because of the presence of cortical defects and the absence of defective collagen or osteopenia. It is not exactly known whether this condition is autosomal dominant or autosomal recessive.
Thoracic dysplasia-hydrocephalus syndrome is a rare autosomal recessive genetic disorder characterized by shortening of the ribs, narrowing of the chest, mild shortening of the limbs (rhizomelia), hydrocephalus, and variable developmental delays. It has been described in two siblings born to consanguineous Pakistani parents.
Craniosynostosis and dental anomalies is an autosomal recessive syndrome characterized by craniosynostosis, maxillary hypoplasia, and dental anomalies. Dental anomalies seen in this condition include malocclusion, delayed and ectopic tooth eruption, and/or supernumerary teeth. Syndactyly, clinodactyly, and other digit anomalies may also be present.
Craniosynostosis-Dandy-Walker malformation-hydrocephalus syndrome is an autosomal dominant syndrome characterized by sagittal craniosynostosis (scaphocephaly), Dandy-Walker malformation, hydrocephalus, and craniofacial dysmorphisms including hypertelorism, micrognathia, and positional ear deformities.
Low anterior hairline is a dysmorphic feature in which the frontal hairline which defines the top and sides of the forehead is unusually low. This can mean that either the distance between the trichion (hairline) and glabella at the midline is more than 2 SD below the mean, or that this distance is apparently (subjectively) decreased.
Flat forehead is a dysmorphic feature in which the surface of the forehead is unusually flat.
Agammaglobulinemia-microcephaly-craniosynostosis-severe dermatitis syndrome is a rare autosomal recessive syndromic form of agammaglobulinemia that is caused by profound B-cell depletion with normal T-cell numbers. The condition was first identified in a 2006 report.
Aprosencephaly cerebellar dysgenesis is a rare, non-syndromic central nervous system malformation characterized by the absence of the telencephalon and diencephalic structures. These are often combined with severe abnormalities in the mesencephalon and cerebellum.
Cardiocranial syndrome, Pfeiffer type is a rare multiple disorder syndrome characterized by congenital heart defects, sagittal craniosynostosis, and severe developmental delay. The condition has been reported in less than 10 patients worldwide.
Brachyturricephaly is a form of complex craniosynostosis in which the head has both an abnormally high vertical height and a shortened length from anterior to posterior. Malformations of the occipital region are also often present.