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2013-08-20-13 Turricephaly, oxycephaly © Asali 

Craniosynostosis with turricephaly, oxycephaly

Othman A. R. M. Al-Asali, MD; Abeer Soliman, MD; Manal Alhakeem,MD.

Al-Hammadi Hospital, Riyadh, Saudi Arabia.
Case report

Following images show a case of an isolated turricephaly, oxycephaly skull diagnosed at 36 weeks of pregnancy. Anamnesis of the woman was unremarkable, she had scoliosis and her first child was delivered via cesarean section.

Ultrasound examination at 36 weeks of gestation found abnormally shaped fetal skull with no other anomalies. The skull appeared irregular - turricephaly was noted, BPD 82.7 mm (corresponding to GA 33 weeks + 2 days), FL 71.1 mm (corresponding to GA 36 weeks + 3 days), AC 291.9 mm. Placenta was in anterior location, grade II, amniotic fluid was normal. Estimated fetal weight was 2391 g. Doppler of the umbilical artery and middle cerebral artery was normal. We had concluded the exam as single viable fetus corresponding to 34 weeks + 2 days with skull deformities and normal placental function.

The newborn was delivered via cesarean section at 36 weeks - girl, 2170 grams (intrauterine growth restriction). The head of the newborn carried signs of turricephaly with shallow orbits and proptosis. The newborn had long philtrum and cleft palate was also found.

CT scan of the newborn showed turricephaly, oxycephaly, but no detectable gross brain congenital anomalies with normal size of ventricular system.
Images 1-7: 36 weeks of gestation - the images show abnormal shape of fetal skull - turricephaly and relation of its size to biometry of the abdomen and femur (images 6,7).





Images 8-17: Postnatal CT showing turricephaly of the newborn's skull.






Images 18-20: Postnatal images of the newborn with turricephaly.


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