Positional head deformation |
Extrinsic factors |
Head usually flat on one side |
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Ear & and forehead on ipsilateral side are rotated forward |
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Frontal bossing on ipsilateral side |
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Flatness of forehead on opposite side |
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1:2,000 births |
Isolated craniosynostosis |
Unknown |
Premature fusion of one or more sutures |
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Skull cannot expand perpendicularly to the fused suture so excessive growth occurs in a direction parallel to the fused suture |
Crouzon syndrome |
FGFR2 |
Autosomal dominant; 1:25,000–60,000 |
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Craniosynostosis, midface hypoplasia, hypertelorism (wideset eyes), proptosis, beak nose |
Apert syndrome |
FGFR2 |
Autosomal dominant; 1:160,000 |
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Craniosynostosis, midface hypoplasia, hypertelorism, symmetric syndactyly, mental handicap (50%), CP (30%) |
Pfeiffer syndrome |
FGFR1 & and 2
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Autosomal dominant; 1:100,000 |
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Craniosynostosis, broad features, cloverleaf skull, syndactyly, elbow ankylosis |
Saethre-Chotzen syndrome |
TWIST |
Autosomal dominant |
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Craniosynostosis, broad features, syndactyly, beak nose |
Carpenter syndrome |
RAB23, MEGF8 |
Autosomal Recessive |
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Craniosynostosis, midface hypoplasia, mental handicap, syndactyly |