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Study of craniostenosis and similar conditions by vestibular craniometry using computerized tomography

✍ Scribed by Domingo Campillo; Antonio Carvajal


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
122 KB
Volume
7
Category
Article
ISSN
1047-482X

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✦ Synopsis


Radiology constitutes an important diagnostic medium for the study of craniostenosis and the related pathologies, platybasia and impressio basilaris.

Usually the evaluation of these lesions has been based on the study of speci®c radiological close-ups (the sagittal plane, the Chamberlain and Lisholm lines and the anthropological Frankfurter plane and Welcker angle). However, as Delattre and Fenart pointed out (1960), vestibular craniometry, through the vestibular plane de®ned by Perez (1992), offers numerous diagnostic possibilities in this respect, because it can be used as a ®xed anthropometrical point, independent of the rest of the cranial structures. Nevertheless, before the advent of computerized tomography (CT), this method of study was not used frequently because of its complexity and the dif®culties of its application.

Recently, through the application of CT, we have been able to use the vestibular technique in several instances, with very interesting results. In this paper two cases will be presented. The ®rst individual was affected by craniostenosis with impressio basilaris of the atlas and synostosis of the vertebrae C-2 and C-3. The second individual suffered from plagiocephaly. Our intention is to show the possibilities of this technique, which, to our knowledge, has never been applied in previous studies, be it in a clinical or a palaeopathological context.