A rare case of lacunar skull with craniosynostosis

摘要

A 3-month-old child, a product of non-consanguineous marriage delivered by caesarean section at 8 months of gestation, presented with abnormal head shape and incomplete closure of eyelids during sleep. Prenatal ultrasonography was reported normal. Head circumference was 36 cm and body weight was 5.5 kg. The child had bilateral ptosis with no neurologic deficits or papilledema, was playful and feeding well. No defects could be palpated through the scalp besides the fontanellae and the spine was normal. Computed tomography (CT) scan showed normally formed ventricles with defects in outer and inner table of skull bilaterally [Figure 1]a and poorly-formed orbits with proptosis [Figure 1]b.