Craniossinostose da sutura metópica, um relato de caso / Craniosysinosis of metopic suture, a case report

Abstract Background This case report is to show the details of the face of a very rare ethmocephaly at 14 weeks of gestation. Case presentation After the regular transabdominal two-dimensional (2D) scan for nuchal translucency we could describe the following malformations: holoprosencephaly, proboscis and an abnormal face, omphalocele containing bowel, hyperechoic kidneys and megacystis. In addition, we acquired transvaginal three-dimensional (3D) ultrasound volume blocks of the fetal head, scanned with different insonation angles and stored them for later analysis. Using the multiplanar mode the volume blocks taken from the front show all details of the face: proboscis, hypotelorism, microphthalmia, cleft palate, accelerated development of the frontal bones and premature closure of the metopic suture. The volume blocks taken through the squamosal suture show all details of the fossa posterior and brain: fused thalami surrounded by the typical monoventricle, normal brain stem, elongation of anterior membranous area. Render mode shows a precise 3D image of the face. To better demonstrate the changes of the fetal face a post-mortem photo of the fetal face is included. Conclusion This case report can demonstarte the typical changes of ethmocephaly in the first trimester using transvaginal 3D scan.

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Metopic Suture Synostosis (Trigonocephaly): A Case Report

Medical Journal of Islamic World Academy of Sciences ◽

10.5505/ias.2016.15921 ◽

2016 ◽

Vol 24 (2) ◽

pp. 69-72

Author(s):

Ercan Bal ◽

İsmail Bozkurt ◽

Cevat Akıncı ◽

Nebi Yılmaz

Keyword(s):

Case Report ◽

Metopic Suture

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Trigonocephaly: Case Report, Review of Literature and a Technical Note

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.031 ◽

2019 ◽

Vol 7 (1) ◽

pp. 117-120 ◽

Cited By ~ 1

Author(s):

Robert Sumkovski ◽

Ivica Kocevski ◽

Micun Micunovikj

Keyword(s):

Case Report ◽

Satisfactory Result ◽

Technical Note ◽

Frontal Bone ◽

Cranial Vault ◽

Review Of Literature ◽

Surgical Methods ◽

Methods And Techniques ◽

Metopic Suture

BACKGROUND: Premature fusion of the metopic suture results in a type of craniosynostosis known as trigonocephaly. The treatment of trigonocephaly is surgical and is likely to remain so. Surgical methods and techniques for correction of craniosynostosis-related skull deformities have evolved, and a single best procedure is yet to be presented. CASE REPORT: Here we present a technical remark in a case of open cranial vault reconstruction. CONCLUSION: Although the literature, in general, prefers barrel stave (radial) frontal bone osteotomies, a technique with longitudinal frontal bone osteotomies were performed, without fixation of the bony flaps, frontal bone or supraorbital arch, with a quite satisfactory result.

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Postsurgical Size-Changing Temporal Lobe Arachnoid Cysts in Patients with Trigonocephaly Who Underwent Reconstructive Surgery: A Two-Case Report

Pediatric Neurosurgery ◽

10.1159/000516207 ◽

2021 ◽

pp. 1-6

Author(s):

Nuri Serdar Baş ◽

Serap Baş

Keyword(s):

Case Report ◽

Reconstructive Surgery ◽

Behavioral Problems ◽

Middle Cranial Fossa ◽

Arachnoid Cysts ◽

Intracranial Volume ◽

Arachnoid Membrane ◽

Biparietal Diameter ◽

Metopic Suture ◽

The Right

Introduction: Trigonocephaly (TC), the tapering of the metopic suture toward the anterior, lateral inadequacy of supraorbital bar, hypoplasia of the ethmoid bone, and hypotelorism due to orbital medialization leads to a triangular shape in the head together with frontotemporal stenosis and widening of the biparietal diameter. Arachnoid cysts (ACs) are benign cysts, which are formed by cerebrospinal-fluid entrapment into the arachnoid membrane due to duplication or separation of the arachnoid membrane layers. ACs are typically located in the middle cranial fossa and Sylvian fissure region. They are mostly detected incidentally through neuroimaging. The coexistence of TC and AC is considerably rare; hence, its actual incidence is unknown. To our knowledge, the coexistence of nonsyndromic TC and AC has been revealed in only 2 publications in the literature. In this case study, 2 patients, one of whom were with unilateral and the other with bilateral temporally localized ACs, sizes of which increased following the reconstructive surgeries, and who underwent reconstructive surgery for TC, were presented. Case Report: Both of the 2 patients that we have presented in our study are 7 months old and male. Fronto-orbital advancement and calvarial remodeling operations were performed on both. ACs of the patients were not intervened. However, in the post-op follow-ups, the left temporal cyst of the 1st case and the right cyst of the 2nd case grew radiologically, and the left cyst became very small. Discussion/Conclusion: TC must be treated surgically. ACs may show changes in size secondary to the increase in intracranial volume following reconstructive surgery for TC. However, if it does not give rise to any complaints, it can be followed-up clinically and radiologically. Patients should be followed-up for many years, given that neurodevelopmental and behavioral problems may occur later in both pathologies.

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Trigonocephaly associated with myelomeningocele in infant: Case report

10.5327/1516-3180.040 ◽

2021 ◽

Author(s):

Julia Gabriela Oliveira Marchiori ◽

Jennyfer Paulla Galdino Chaves ◽

Maria Cecilia Closs Ono ◽

Adriana Keijiro Maeda

Keyword(s):

Case Report ◽

Three Dimensional ◽

Cranial Sutures ◽

Reconstruction Surgery ◽

Recommended Treatment ◽

Fetal Movements ◽

Dimensional Reconstruction ◽

Early Closure ◽

Metopic Suture ◽

Infant Case

Context: Trigonocephaly is a type of craniostenosis due to the early closure of the metopic suture. His diagnosis is eminently clinical, but imaging tests are essential. The recommended treatment is surgical and should preferably be performed at the age of 3 to 9 months. Association between craniosynostosis and neural tube defect (NTDs) is rare and was sometimes considered as mere coincidence. However, Martinez-Lage et al. hypothesize that there is a causal relationship between these malformations since myelomeningocele reduces intracranial pulse pressure, which stimulates the early closure of cranial sutures. For Graham et al. the restriction of fetal movements in NTD carriers predisposes to craniosynostosis, as they are likely to keep the skull fixed against the mother’s pelvic bones. Case report: Male patient, 11 months, with West Syndrome. He congenitally presented myelomeningocele, and this deformity was corrected on his first day of life. He subsequently developed a keel-shaped forehead, protrusion of metopic suture, and hypertelorism. The diagnosis of trigonocephaly was ratified by computed tomography of the skull with three-dimensional reconstruction. Surgery was performed at 11 months. The access chosen was coronal and there was a wide exposure of the calvarium. Then all the metopic suture was removed through a bifrontal craniotomy, which allowed the remodeling of the frontal bone. Conclusions: It is necessary to make a diagnosis and early treatment of both comorbidities since delays in the conduct can result in disastrous consequences. In addition, there is a need to conduct more research to elucidate the interrelationship between craniosynostosis and NTD.

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Persistent metopic suture with multiple wormian bones: A case report

Journal of Anatomical Society of India ◽

10.1016/j.jasi.2017.08.298 ◽

2017 ◽

Vol 66 ◽

pp. S94-S95

Author(s):

I. Jaiswal ◽

A.P. Kasote ◽

M.P. Fulpatil

Keyword(s):

Case Report ◽

Wormian Bones ◽

Metopic Suture

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Misophonia: An Evidence-Based Case Report

American Journal of Audiology ◽

10.1044/2020_aja-19-00111 ◽

2020 ◽

Vol 29 (4) ◽

pp. 685-690

Author(s):

C. S. Vanaja ◽

Miriam Soni Abigail

Keyword(s):

Quality Of Life ◽

Case Report ◽

Case History ◽

Pure Tone ◽

Physiological Responses ◽

Evidence Based ◽

Management Option ◽

Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

Perspectives on Fluency and Fluency Disorders ◽

10.1044/ffd21.1.11 ◽

2011 ◽

Vol 21 (1) ◽

pp. 11-21 ◽

Cited By ~ 2

Author(s):

Farzan Irani ◽

Rodney Gabel

Keyword(s):

Case Report ◽

Therapeutic Intervention ◽

Intensive Therapy ◽

Positive Outcome ◽

Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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A Tape-Recorded Therapy Method for Stutterers: A Case Report

Journal of Speech and Hearing Disorders ◽

10.1044/jshd.3502.188 ◽

1970 ◽

Vol 35 (2) ◽

pp. 188-193 ◽

Cited By ~ 4

Author(s):

Maryann Peins ◽

Bernard S. Lee ◽

W. Edward McGough

Keyword(s):

Case Report

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