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CRANEOSINOSTOSIS
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CRANEOSINOSTOSISALFREDO ALTUZARRA N.
E1 – Radiologia e Diagnostico por Imgens
HOSPITAL MUNICIPAL JESUS
RIO DE JANEIRO - BRASIL
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CRANEOSINOSTOSISANATOMIA:
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CRANEOSINOSTOSISPalavra grega que significa fechar (Crânio fechado)Fusão prematura de uma o mais suturas craniais.Sagital (40-60%), coronal (20-30%), metopica(10%).Lambdóide rara.Fontanela post. fecha 3-6 meses.Fontanela ant. fecha 9-18 meses.Metopica 9-24 meses.Sagital, coronal e lambdoidea 40 anos.Diagnostico por exame físico e confirmação por RX ou TC.
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CRANEOSINOSTOSISDOENÇA SUTURA
FORMA DA CABEÇA
IMAGEM
EscafocefaleiaFechamento
antecipado da sutura sagital
Diâmetro AP alongado e encurtado biparietal
Plagiocefaliaant.
Sutura coronal
unilateral
Protuberância frontotemporal
BraquicefaliaSuturas coronais bilaterais.
Diâmetro AP encurtado e alongado biparietal
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CRANEOSINOSTOSISDOENÇA SUTURA
FORMA DA CABEÇA
IMAGEM
Plagiocefaliapost.
Sutura lambdoidea unilateral
Aplanamento occipital com abaulamento
frontal contralateral. Orelha no lado afetadoestá desplazada hacia
atrás
TrigonocefaliaSutura
metopicaFrente triangular
OxicefaliaFusão de todas
as suturasCabeça de cone
TurricefaliaSuturas
lambdóides bilaterais
Aumento na altura. Diámetro AP acortado
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CRANEOSINONTOSISDOLICOCEFALIA: Deformidade do crânio com alongamento AP, não sempre patológica.MACROCEFALIA: Tamanho excessivo do crânio. Injuria hipo-isquemica severa, Tri 21, Tri 13, Snd Fetal álcool , TORCH, Snd Rubinstein-Taybi, Nanismo Seckel. MICROCEFALIA: Tamanho reduzido do crânio. Hidrocefalia, Coleção do liquido Subdural coleção, neurofibromatosis, Acrondroplasia, Escleroses Tuberosa, D. Metabólica, D. Alexander, D. Canavan, Snd Sotos.Snd de APERT: Braquicefalia + sindactilia.Snd de Crouzon: Braquicefalia ou Turricefalia, hipertiroidismo, exoftalmos, frente proeminente, nariz ganchuda. Em ocasiões RM e HIC.HIPERTELORISMO: Separacao excessiva os olhos.HIPOTELORISMO: Aproximação excessiva os olhos.
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CRANEOSINOSTOSIS
HIPOFOSFATASA
BAIXA DENSIDADE ÓSSEA:
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSIS
OSTEOGÊNESE IMPERFEITA
BAIXA DENSIDADE ÓSSEA:
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSIS
OSTEOPOROSE NEONATAL DISPLASIA FRONTOMETAFISEAL
ELEVADA DENSIDADE OSSEA:
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSIS
CITOMEGALOVIROSE
PEEXCESSIVA PRESSÃO UTERINA NO CRÂNIO
VARIAÇÕES NO TAMANHO DO CRÂNIO
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSIS
ACONDROPLASIA
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSISBRAQUICEFALIA:
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSISPLAGIOCEFALIA ANTERIOR:
SINOSTEOSES CORONAL UNILATERAL
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSIS
FRATURAS FRONTAIS
FRATURAS :
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSIS
DISPLASIA CLEIDOCRANIAL
BRAQUICEFALIA:
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.
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CRANEOSINOSTOSIS
LEUCEMIA AGUDA
NEOPLASIAS:
Radiographics 2004, Vol. 24, No. 2, pp. 507 – 521.