Monday, May 30, 2011

Craniosinostoza - Diagnosis

Laboratory studies:There are no specific laboratory studies to assess craniosinostozei. All patients requiring surgery suffer checking electrolytes and hemoglobin levels to be safely anesthetized.
Imaging Studies:Simple X-ray shows abnormal bone anatomy. It is useful to identify abnormal head shape: dolicocefalia, brachycephalism, plagiocefalia. Normal sutures are seen as bright lines needle.Craniosinostoza sutures in patients with sclerotic margins are straight or completely absent. Sclerotic margins can shape shots and lead to false results.Computerized tomography is a method to visualize deteliata intracranial pathology and detailed anatomy of calvaria and brain parenchyma. Unlike the plain skull radiograph is viewed well and hard and soft tissues of the craniofacial skeleton can be studied in detail. Neuroimaging is performed in children with isolated synostosis to search for primary brain damage and other associated abnormalities of the brain. Children may trigonocefalie holoprozencephaly. Anomalies of venous drainage and venous foramen stenosis may occur in the skull base synostosis multisutura.MRI may better define soft intracranial structures than computed tomography. This is useful in detecting hydrocephalus and cerebral defects such as defects mielinizarii development and the jaw.Neurodevelopment studies obtain information about cortical function before and after cranial remodeling. Mental and psychomotor skills tests compare the child with a tub normograma to quantify the child is late for his age or if surgery will help reduce the severity of developmental delay. Children are often delayed and mentally sidnromice synostosis. This phenomenon can be severe and the child is classified as retarded.The differential diagnosis is made with the following conditions: brain tumors, hydrocephalus, neural tube defects, siringomielia, thyroid disease, torticollis, Aperta syndrome, hypophosphatemia, Pfeiffer syndrome, Crouzon syndrome, Carpenter syndrome, flattened head syndrome, rickets, vitamin D deficiency

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