Avoiding CT scans in children with single-suture craniosynostosis.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
T SchweitzerJ Krauß

Abstract

During the last decades, computed tomography (CT) has become the predominant imaging technique in the diagnosis of craniosynostosis. In most craniofacial centers, at least one three-dimensional (3D) computed tomographic scan is obtained in every case of suspected craniosynostosis. However, with regard to the risk of radiation exposure particularly in young infants, CT scanning and even plain radiography should be indicated extremely carefully. Our current diagnostic protocol in the management of single-suture craniosynostosis is mainly based on careful clinical examination with regard to severity and degree of the abnormality and on ophthalmoscopic surveillance. Imaging techniques consist of ultrasound examination in young infants while routine plain radiographs are usually postponed to the date of surgery or the end of the first year. CT and magnetic resonance imaging (MRI) are confined to special diagnostic problems rarely encountered in isolated craniosynostosis. The results of this approach were evaluated retrospectively in 137 infants who were referred to our outpatient clinic for evaluation and/or treatment of suspected single suture craniosynostosis or positional deformity during a 2-year period (2008-2009). In 133 (97.1...Continue Reading

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Citations

Jan 1, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Paul Steinbok
Aug 21, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Christian LinzTilmann Schweitzer
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Nov 18, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Rosalinda CalandrelliCesare Colosimo
Aug 25, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Tilmann SchweitzerChristian Linz
Apr 12, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Christian FreudlspergerMichael Engel
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