How ultrasonography can contribute to diagnosis of craniosynostosis.
Craniosynostosis
Infant
Skull
Suture
Ultrasound
Journal
Neuro-Chirurgie
ISSN: 1773-0619
Titre abrégé: Neurochirurgie
Pays: France
ID NLM: 0401057
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
16
06
2019
revised:
21
09
2019
accepted:
21
09
2019
pubmed:
6
10
2019
medline:
20
2
2020
entrez:
6
10
2019
Statut:
ppublish
Résumé
The aim of this article was to provide an overview of ultrasound (US) techniques for the investigation of cranial sutures in infants. We first describe a high-resolution sonography technique and its limitations. We then analyze the reliability, effectiveness and role of ultrasonography in routine practice using a PubMed literature review. Ten studies reported excellent correlations between ultrasonography and 3D-CT. Cranial US for the diagnosis of a closed suture had 100% sensitivity in 8 studies and 86-100% specificity before the age of 12 months. Negative findings mean imaging investigation can be stopped. If ultrasonography confirms diagnosis, neurosurgical consultation is required. Thus, 3D-CT can be postponed until appropriate before surgery. Cranial suture ultrasound is an effective and reliable technique for the diagnosis of craniosynostosis. It has many advantages: it is fast and non-irradiating, and no sedation is required. It should be used as first-line imaging in infants below the age of 8-12 months when craniosynostosis is clinically suspected.
Identifiants
pubmed: 31586456
pii: S0028-3770(19)30231-0
doi: 10.1016/j.neuchi.2019.09.019
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
228-231Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.