Case: A child presents with a narrow shaped forehead that is small and triangular in appearance. The patient had been referred to the clinic for microcephaly and was diagnosed with both anterior and posterior fused fontanelles. Observations: The child’s blood work and gestational period were unremarkable, but the softness of the head was noted when palpated, along with a low weight percentage.
A cranial CT revealed there were several thinned areas of the cranial vault, but could not accurately portray the sutures that were fused. The patient underwent thin-slice high-resolution cranial CT examination using multislice CT scanning and reconstruction image were obtained for three-dimensional analysis. The use of this 3D scan revealed that there were multiple fusions; including a fusion of the metopic suture, an almost complete fusion of the sagittal suture, and fusions of both coronal…