Rizwan Masood Butt, Mohammad Azhar Javaid, Azam Nyaz.
Craniosynostosis: A Study of 60 Cases.
Pak J Neurol Jan ;4(2):72-6.

This is a retrospective study involving 60 consecutive cases managed by the authors. Diagnosis was made on abnormal skull shape, palpable suture ridge, and associated facial asymmetry. Only 25 cases were operated. There were 42 (70%) boys and 18 (30%) girls. Prsentation complaints in our patients included, cosmetic deformity in 51 (85%), delayed milestones in 9 (15%) patients and associated anomalies in 2 (3.3%). Presentation age was between 1 year to 2 years in 26 (43.3%) patients. The commonest suture effected was sagittal (51.6%) followed by unicronal seen in 43.3%. Only 6 (10%) mothers were above 35 years of age. All the patients belonged to low socieoeconomic group. Family history of craniosynostosis was present in 1 case. Fifty seven (95%) patients had nonsyndromal craniosynostosis. Conclusion: Craniosynostosis is more common in boys than in girls. Early diagnosis means that child can be saved from permanent damage. Its surgery is safe and effective. In our setup it does occur in mothers of relatively younger age group.

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