Sonography of normal cranial sutures.

Normal Sagittal and Coronal Suture Widths by Using CT Imaging

“…These data correlated with previously reported sonography measurements of suture width at 2 and 3 months. 9 Although our CT sutural width measurements were larger at 0 months of age and 1 month of age than the sonog- raphy data, this variation in suture width may be secondary to our larger sample size and or including a fibrous portion of the suture. No additional studies have been found to date to compare older infant (ages 6 -12 months) suture widths, probably due to rapidly closing suture width.…”

“…9 The proximal sagittal suture measured 5.0 Ϯ 0.2 mm by CT at 0 months of age, whereas the measured range by sonography was approximately 0.9 -1.4 mm. At 1 month, the proximal sagittal suture measured 2.5 Ϯ 0.1 mm by CT, whereas the range by sonography was approximately 0.6 -1.2 mm; at 2 months the proximal sagittal suture The proximal coronal suture measured 2.5 Ϯ 0.1 mm by CT at 0 months of age, whereas the range by sonography was approximately 0.9 -1.5 mm.…”

“…6 As sonography technology advanced, sutural appearance and intracranial distances were assessed to determine normality. 9 In the acute setting, however, sonography is not the preferred method of assessing the pediatric head due to variability between ultrasonographers, 9 ultrasonographer availability, and limited overall assessment of intracranial contents.…”

Cranial Ultrasound as a First-Line Imaging Examination for Craniosynostosis

“…The normal gap of a patent suture (Fig 1) or the obliteration in craniosynostosis can be clearly demonstrated with CUS in children <12 months of age. [15][16][17][18][19][20][21] Data in previous publications support CUS as an easy and feasible imaging technique for assessment of the cranial sutures. In recent study by Linz et al, 22 CUS confirmed a clinical diagnosis of craniosynostosis or plagiocephaly in large group of infants.…”

Preoperative ultrasound localization of the lambda in patients with scaphocephaly: a technical note for minimally invasive craniectomy

“…10 Some authors advocate for the use of ultrasound as a way of screening for the patency of sutures in cases of plagiocephaly. 4,7,11,12 Hyperechoic fusion of bones and ridging are characteristic aspects of suture synostosis.…”