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A 7 month old boy was admitted to our paediatric department with a fever up to 40°C and diarrhoea. Physical examination revealed closed anterior fontanelle, scaphocephaly (long and narrow skull) (fig 1), frontal bossing, and two hair whorls. Head circumference was 47.5 cm (above 97%). Previous records of head circumference showed continuous growth on the same percentile. His neurological examination was normal as well as his development. A CT scan with 3D construction (fig 2A and B) revealed early closure of the sagittal suture.
Craniosynostosis is defined as premature closure of the cranial sutures. The incidence of primary craniosynostosis is 1/2000 births. Scaphocephaly is sporadic and more common in males and may cause difficulties during labour. Scaphocephaly does not produce increased intracranial pressure or hydrocephalus, and neurological examination results of affected patients are normal.
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