The Evolution of the Role of Imaging in the Diagnosis of Craniosynostosis: A Narrative Review.

Giovanni Cacciaguerra, Monica Palermo, Lidia Marino, Filippo Andrea Salvatore Rapisarda, Piero Pavone, Raffaele Falsaperla, Martino Ruggieri, Silvia Marino
Author Information
  1. Giovanni Cacciaguerra: Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, Unit of Rare Diseases of the Nervous System in Childhood, University of Catania, 95125 Catania, Italy. ORCID
  2. Monica Palermo: Radiology Unit 1, Department of Medical Surgical Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95125 Catania, Italy. ORCID
  3. Lidia Marino: Neonatal Intensive Care Unit, AOU "Policlinico", PO "San Marco", University of Catania, 95121 Catania, Italy.
  4. Filippo Andrea Salvatore Rapisarda: Department of Obstetrics and Gynecology, ARNAS Garibaldi Nesima, 95122 Catania, Italy.
  5. Piero Pavone: Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, Unit of Rare Diseases of the Nervous System in Childhood, University of Catania, 95125 Catania, Italy. ORCID
  6. Raffaele Falsaperla: Neonatal Intensive Care Unit, AOU "Policlinico", PO "San Marco", University of Catania, 95121 Catania, Italy.
  7. Martino Ruggieri: Department of Clinical and Experimental Medicine, Section of Pediatrics and Child Neuropsychiatry, Unit of Rare Diseases of the Nervous System in Childhood, University of Catania, 95125 Catania, Italy.
  8. Silvia Marino: Unit of Pediatrics and Pediatric Emergency, AOU "Policlinico", PO "San Marco", University of Catania, 95121 Catania, Italy. ORCID

Abstract

Craniosynostosis, the premature closure of cranial sutures, is one of the principal causes of pediatric skull deformities. It can cause aesthetic, neurological, acoustic, ophthalmological complications up to real emergencies. Craniosynostosis are primarily diagnosed with accurate physical examination, skull measurement and observation of the deformity, but the radiological support currently plays an increasingly important role in confirming a more precise diagnosis and better planning for therapeutic interventions. The clinician must know how to diagnose in the earliest and least invasive way for the child. In the past, technological limitations reduced the choices; today, however, there are plenty of choices and it is necessary to use the various types of available imaging correctly. In the future, imaging techniques will probably rewrite the common classifications we use today. We provide an updated review of the role of imaging in this condition, through the ages, to outline the correct choice for the clinician for an early and non-invasive diagnosis.

Keywords

References

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