Abstract
Wormian bones are accessory bones within sutures or fontanelles. Replacement of the anteriorfontanele with a bregmatic wormian bone, so-called as fontanellar bone, is an uncommonfindings. They may be solely presented with absence of the anterior fontanelle or associatedwith craniosynostosis and also form part of various syndromes, skeletal dysplasias. We hereinreport two uncommon cases of giant bregmatic wormian bones replacing the anterior fontanellein two children. Computerized tomografi (CT) is the best choice to detect both the wormianbones and possible associated craniosynostosis or central nervous system (CNS) abnormalities.Adding 3D reconstruction to routine CT imaging facilitates detection of wormian bones
Keywords
References
- Woods RH, Johnson D. Absence of the anterior fontanelle due to a fontanellar bone. J Cranoifac Surg 2010; 21:448-449.
- Agrawal D, Steinbok P, Cochrane DD. Pseudoclosure of anterior fontanelle by wormian bone in isolated sagittal craniosynostosis. Pediatr Neurosurg 2006; 42:135-137.
- Samson T, Beals SP, Rekate HL. Massive wormian bone at the cranial apex: identification, correction and outcome. J Craniofac Surg 2008 Jan;19(1):96-100.
- Barberini F, Bruner E, Cartolari R, Franchitto G, Heyn R, Ricci F et al. An unusually-wide human bregmatic Wormian bone: anatomy, tomographic description, and possible significance. Surg Radiol Anat 2008; 30: 683-687.
- Sanchez-Lara PA, Graham Jr JM, Hing AV, Lee J, Cunningham M. The morphogenesis of Wormian bones: a study of craniosynostosis and purposeful cranial deformation. Am J Med Genet 2007; 143:3243-3251.
- O’Loughlin VD. effects of different kinds of cranial deformation on the incidence of wormian bones. Am J Phys Anthropol 2004; 123:146-155.
Abstract
Wormian kemikler sütürler içerisinde veya fontanellerde yerleşmiş aksesuar kemiklerdir.Fontaneller kemik olarak adlandırılan, bregmatik kemiğin anterior fontanelin yerini alması sıkrastlanmayan bir bulgudur. Fontaneller kemik sadece anterior fontanelin yokluğu ile ortayaçıkabilir veya kraniosinostoz ve ayrıca çeşitli sendromların, iskelet displazilerinin bir parçasıolarak görülebilir. Biz burada iki çocukta anterior fontanelin yerini alan, sık görülmeyen iki devbregmatik wormian kemik vakasını sunuyoruz. Bilgisayarlı tomografi (BT) hem wormiankemiklerin hem de olası kraniosinostoz veya santral sinir sistemi anormalliklerininsaptanmasında en iyi seçenektir. Rutin BT imajlarına 3D rekonstriksiyon imajlarının eklenmesiwormian kemiklerin saptanmasını kolaylaştırır
Keywords
References
- Woods RH, Johnson D. Absence of the anterior fontanelle due to a fontanellar bone. J Cranoifac Surg 2010; 21:448-449.
- Agrawal D, Steinbok P, Cochrane DD. Pseudoclosure of anterior fontanelle by wormian bone in isolated sagittal craniosynostosis. Pediatr Neurosurg 2006; 42:135-137.
- Samson T, Beals SP, Rekate HL. Massive wormian bone at the cranial apex: identification, correction and outcome. J Craniofac Surg 2008 Jan;19(1):96-100.
- Barberini F, Bruner E, Cartolari R, Franchitto G, Heyn R, Ricci F et al. An unusually-wide human bregmatic Wormian bone: anatomy, tomographic description, and possible significance. Surg Radiol Anat 2008; 30: 683-687.
- Sanchez-Lara PA, Graham Jr JM, Hing AV, Lee J, Cunningham M. The morphogenesis of Wormian bones: a study of craniosynostosis and purposeful cranial deformation. Am J Med Genet 2007; 143:3243-3251.
- O’Loughlin VD. effects of different kinds of cranial deformation on the incidence of wormian bones. Am J Phys Anthropol 2004; 123:146-155.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 1, 2016 |
| Published in Issue | Year 2016 Volume: 18 Issue: 1 |
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