- Craniosynostosis is the premature fusion of calvarial sutures, occurring in 1 in 2500 births. It can be syndromic or non-syndromic. The most common types are sagittal, unilateral coronal, bilateral coronal, metopic, and lambdoid synostoses.
- Diagnosis involves clinical examination, skull X-rays or CT scans to identify the fused suture. Early surgery (before 12 months) is usually recommended to reshape the skull and allow brain growth. Procedures depend on the suture involved and may require staged repairs for complex cases.
- Long term follow up after surgery addresses development, genetics counseling, and monitoring of vision, speech,
A Radiological Approach to CraniosynostosisFelice D'Arco
Presentation Summary: Normal Cranial Development (Anatomy and Genetic), Imaging Technique (how to do 3D CT, when to do MRI, why to do not do Plain Film), Imaging Patterns of Craniosynostosis, Associated Complications, Pitfalls.
Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the first month of pregnancy, often before a woman even knows that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly.
Sonographic evaluation of fetal face is a part of anatomic survey in mid pregnancy
However , little is required; b/c according to american institute of ultrasound in modern practice guidelines, only visualization of fetal upper lip is mandatory during anatomy survey.
3D & 4D images are more informatory in cases where fetal face is hard to evaluate in 2D scan due to fetal position.
In this presentation we will discuss role of high resolution in characterizing normal variant and pathologies of spinal pathologies.
This is a pictoral review.
Developed by The Center for Fetal Diagnosis and Treatment at The Children's Hospital of Philadelphia, this guide provides an overview of fetal fetal surgery for myelomeningocele (MMC), the most common and severe form of spina bifida, including confirmation of the diagnosis, patient criteria for fetal surgery, the surgical procedure, delivery and follow-up care.
A Radiological Approach to CraniosynostosisFelice D'Arco
Presentation Summary: Normal Cranial Development (Anatomy and Genetic), Imaging Technique (how to do 3D CT, when to do MRI, why to do not do Plain Film), Imaging Patterns of Craniosynostosis, Associated Complications, Pitfalls.
Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the first month of pregnancy, often before a woman even knows that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly.
Sonographic evaluation of fetal face is a part of anatomic survey in mid pregnancy
However , little is required; b/c according to american institute of ultrasound in modern practice guidelines, only visualization of fetal upper lip is mandatory during anatomy survey.
3D & 4D images are more informatory in cases where fetal face is hard to evaluate in 2D scan due to fetal position.
In this presentation we will discuss role of high resolution in characterizing normal variant and pathologies of spinal pathologies.
This is a pictoral review.
Developed by The Center for Fetal Diagnosis and Treatment at The Children's Hospital of Philadelphia, this guide provides an overview of fetal fetal surgery for myelomeningocele (MMC), the most common and severe form of spina bifida, including confirmation of the diagnosis, patient criteria for fetal surgery, the surgical procedure, delivery and follow-up care.
Crouzon Syndrome.
Primarily characterized by premature closure of the fibrous joints (cranial sutures) between certain bones in the skull (craniosynostosis) and distinctive facial abnormalities
Surgical approach for tumors in the lateral and third ventricleSherif Watidy
Professor Sherif Elwatidy explains in this lecture the approach to the lateral and third ventricle with emphasis on the anatomy of the region and through the trajectory.
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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ACHONDROPLASIA -CASE REPORT & REVIEW OF LITERATURE/ dental implant coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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1- Why isn't Jamie allowed unlimited use of aspirin for pain- 2- Why d.docxKevinjrHWatsono
1. Why isn't Jamie allowed unlimited use of aspirin for pain? 2. Why does Jamie's pain subside after a period of inactivity? 3. Why is Sever disease more likely to occur in a child who is active than in one who is sedentary? 4. Why does Sever disease occur in children rather than adults? 5. Describe the pattern of pain appearance and remission that can be expected if Jamie uses heel pads only intermittently. 6. Why are Jamie's X rays normal? If Jamie had calcaneal spurs, how would the X rays have differed? 7. In craniosynostosis, why would premature closure of the sagittal suture restrict the lateral growth of the skull? 8. If you were a pediatrician, what measurements of the skull would you take to distinguish different forms of craniosynostossis from each other? 9. About 50% of children with cranioynostossi exhibit mental retardation. Explain the probable connection between the skeletal deformity and the neurological effect. 10. Explain why Paget disease could cause abnormal pressure on a spinal nerve. Objectives In this chapter we will study - foor developmental disorders of the skull-microcephaly, macrocephaly, acrania, and craniosynostosis; - two developmental disorders of the face and jaw-cleft palate and mandible disorders: - developmental disorders of the vertebral column, incloding spina bifida and aboormal spine curvatures; - some of the causes of lower back pain later in life; and - two disorders of the pelvis-rachitic pelvis and pelvis asyametry. - three disorders of the legs - congenital short fenur, genu varum, and genu valgum: - skeletal disorders of the foet, specifically foot deformities and heel pain. Diagnosing Skeletal Disorders Craniosymosiosis This chapter focuses on disonders of some of the groups of booes Normal human babies are born with unfused e that compose the skeletoa, and examines skeletal problems at the able to shift enough to allow their heads to organ and system level as opposed to the tissue level treated in canal. The cranial booes become rigidly joi the previous chapter. You may find it helpfal to refer to a buman 2 years after birth. Craniosynostonis oecurs asatomy textbook to review the skeleton. The methods used to di- of the cranial sutures fuses prematurely durin agnose the disorders diseussed in this chapter are largely the same months of life. It occurs in about 5 out of 100 as those deseribed in the previous chapter. twice as often in males as in females. Developmental Disorders of the Skull Premature closure of a suture results in I Developmental defects that occur daring the formation of the tures that remain open. For example, if the o bones of the skull can be so minor that they have little or no effect prematurely, the head cannot grow normally or so major that they cause death. This discussion focuses ce two direction but shows excessive promth in a la defects of the skull: acrania and crasiosynostosis. pendicular to the sagittal suture. As a result, Acrania mally wide (left to right) and sh.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Expansion in orthodontics /certified fixed orthodontic courses by Indian dent...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
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Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
New Drug Discovery and Development .....NEHA GUPTA
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. Infant skullInfant skull
Flexible; to get through the vagina during birth.Flexible; to get through the vagina during birth.
Expansile; to accommodate rapid brain growth.Expansile; to accommodate rapid brain growth.
Anterior fontanelle close by 2.5 years.Anterior fontanelle close by 2.5 years.
Posterior fontanelle close by 2-3 months.Posterior fontanelle close by 2-3 months.
Spheniod by 2-3 months and mastoid by 1 year.Spheniod by 2-3 months and mastoid by 1 year.
90% of adult size achieved by age of 1 year, 96%90% of adult size achieved by age of 1 year, 96%
by the age of 6 years.by the age of 6 years.
4. HistoryHistory
In the late 1700s Sommerring noted that bone growth
in the skull occurred primarily at suture lines and that
when this growth site was prematurely bridged with
bone, an abnormal skull shape developed.
Similar observations were made by Otto2 in 1830 and
Virchow3 in 1821.
Moss noted that surgeons operating on the skulls of
children presumed to have craniosynostosis would
occasionally find patent cranial vault sutures, despite
what appeared to be typical craniosynostosis skull
deformities.
5. The functional matrix theory, in which the
functional enlargement or development of an
organ system is the primary force in changing
its overall shape and determining its final form.
7. Sutrure closureSutrure closure
Ossification; by age of 8 years.Ossification; by age of 8 years.
Union; by the age of 20 years.Union; by the age of 20 years.
Early closure cause bone growth parallel to theEarly closure cause bone growth parallel to the
suture.suture.
8. DefinitionDefinition
Premature fusion of calvarial sutures.Premature fusion of calvarial sutures.
1 in 2500 live births.1 in 2500 live births.
Syndromic and non-syndromic.Syndromic and non-syndromic.
Phenotypic and non-phenotypic.Phenotypic and non-phenotypic.
Primary and secondary.Primary and secondary.
Most common, sagittal, unilateral coronal,Most common, sagittal, unilateral coronal,
bilateral coronal, metopic and lambdoid.bilateral coronal, metopic and lambdoid.
18. PrematurityPrematurity
Deformational ScaphocephalyDeformational Scaphocephaly
Impaired mobility & prolonged positioningImpaired mobility & prolonged positioning
Persists until adulthoodPersists until adulthood
Prevention:Prevention:
Donut-shaped head supportsDonut-shaped head supports
waterbed mattresseswaterbed mattresses
Does not warrant interventionDoes not warrant intervention
19. V-P shuntingV-P shunting
ScaphocephalyScaphocephaly
Chronic hydrocephalus thickens the skullChronic hydrocephalus thickens the skull
Once decompression with shunt, the sutureOnce decompression with shunt, the suture
fusesfuses
20. MicrocephalyMicrocephaly
Surgical correction not indicatedSurgical correction not indicated
Abnormal OFCAbnormal OFC
in primary craniosynostosis, OFC remains normalin primary craniosynostosis, OFC remains normal
yet oddly shapedyet oddly shaped
Rare cases of multisutural craniosynostosisRare cases of multisutural craniosynostosis
restricting head growth, but manifests withrestricting head growth, but manifests with
increased ICPincreased ICP
21. Positional deformationPositional deformation
Most common causeMost common cause
Usually forehead asymmetryUsually forehead asymmetry
Sometimes associated with torticollisSometimes associated with torticollis
Usually acts on coronal or lamboidal sutureUsually acts on coronal or lamboidal suture
40% of newborns40% of newborns
23. SyndromicSyndromic
10-20 % of cases10-20 % of cases
Autosomal DominantAutosomal Dominant
Linked to Chromosome 10qLinked to Chromosome 10q
Multi-sutural, complex casesMulti-sutural, complex cases
If a suture is fused, check hands, feet,
big toe and thumb
26. Apert’sApert’s
“Crouzon’s with Hand Involvement“Crouzon’s with Hand Involvement””
• Varying intellect (50 % with MR)
• Mitten Glove Syndactyly
• Cervical vertebral anomalies
• Rare hydrocephalus
27. True Craniosynostosis/SurgeryTrue Craniosynostosis/Surgery
Single Suture Synostosis: Confirm by exam andSingle Suture Synostosis: Confirm by exam and
skull x-raysskull x-rays
Complex cases: CT or 3D CTComplex cases: CT or 3D CT
X-Ray: Fused sutures have a broad ridge ofX-Ray: Fused sutures have a broad ridge of
overgrowth of solid bone along a previousovergrowth of solid bone along a previous
suture, or suture is completely obliteratedsuture, or suture is completely obliterated
Ridge is especially characteristic of fused sagittalRidge is especially characteristic of fused sagittal
suturesuture
29. The Decision to OperateThe Decision to Operate
Raised ICP in 1/3 of cases, but no neuroRaised ICP in 1/3 of cases, but no neuro
impairment. 8% Sagittal, 6% metopic and 12%impairment. 8% Sagittal, 6% metopic and 12%
in unilateral coronal.in unilateral coronal.
Cosmetic considerations usually most importantCosmetic considerations usually most important
affects peer acceptance, parent-child bonding, self-affects peer acceptance, parent-child bonding, self-
image and copingimage and coping
31. SurgerySurgery
If not part of syndrome, the earlier the operationIf not part of syndrome, the earlier the operation
the betterthe better
At the latest 6-12 months (by 12 months, skull isAt the latest 6-12 months (by 12 months, skull is
90% of adult size)90% of adult size)
For coronal suture, operate before 2 months becauseFor coronal suture, operate before 2 months because
of facial symmetry and visual system developmentof facial symmetry and visual system development
Procedure depends on continuing skull growthProcedure depends on continuing skull growth
Hospitalization for 3-10 daysHospitalization for 3-10 days
32. SurgerySurgery
Unilateral coronal suture: difficult. OrbitalUnilateral coronal suture: difficult. Orbital
relocation as well.relocation as well.
Syndromic or multi-suture cases: staged repairs.Syndromic or multi-suture cases: staged repairs.
54. Ocular morbidityOcular morbidity
Pre- and post-op impairments seen withPre- and post-op impairments seen with
unilateral coronal and metopic synostosesunilateral coronal and metopic synostoses
dissociated movementsdissociated movements
amblyopiaamblyopia
refractive errorsrefractive errors
Ophthalmological involvement in work-up andOphthalmological involvement in work-up and
follow-upfollow-up
55. Long term follow upLong term follow up
SpeechSpeech
Genetic CounselingGenetic Counseling
Feeding / SwallowingFeeding / Swallowing
OphthalmologyOphthalmology