Hosting 723 files, 2931 images, and 4 contributors.

Random Case

Leptomeningeal Carcinomatosis
Joseph Junewick, MD FACR
over 9 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

9 year old with mis-shapened skull.

Case Detail

Anatomy: Brain-Spine
Joseph Junewick, MD FACR
Diagnostic Category: Developmental or Congenital
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CR CT
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Findings

CR – Poorly developed anterior cranial fossa with recessed superior orbital rims and forehead. Note the markedly accentuated convolutional markings of the anterior inner table of the skull.

CT – 3D volume rendered image shows minimal vestiges of the coronal sutures at the vertex and nonvisualization inferiorly.

Reveal Discussion

Craniosynostosis is the result of lack of formation or premature closure of sutures. Sutures permit skull growth perpendicular to themselves. Synostosis is usually sporadic but can have a genetic predisposition. Suture involvement in decreasing order of prevalence is sagittal, bilateral coronal, unilateral coronal, metopic and lambdoid. Sagittal synostosis is more common in males whereas coronal synostosis is more common in females.

Reveal Diagnosis

Bilateral Coronal Synostosis

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare