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2020, Number 2

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Rev Cubana Neurol Neurocir 2020; 10 (2)

Kleeblattschädel syndrome

Ulloa CHA, Zaldívar SM, Ríos MO, Espinosa AME, Céspedes-Tamayo LG, Salazar EO

Language: Spanish
References: 20
Page: 1-12
PDF size: 278.98 Kb.


ABSTRACT

Objective: To describe the clinical manifestations, behavior and postoperative evolution of an infant with Kleeblattschädel syndrome.
Clinical case: We report the case of a two-month-old female infant, daughter of young parents, with no history of genetic or chronic disease. Her mother had prenatal care since the first weeks of pregnancy. Ultrasound studies during pregnancy did not report alterations. At birth, the infant showed mild respiratory distress and dysmorphic features. She was referred to Octavio de la Concepción y de la Pedraja Pediatric Hospital in Holguín, with diagnosis of craniosynostosis. The physical examination revealed a wide anterior fontanelle, bilateral exophthalmos, hypertelorism, maxillary hypoplasia, and a cloverleaf-shaped skull configuration. In the computed tomography report described cloverleaf skull, total closure of sutures and bilateral exophthalmos. The cerebral ventricles were dilated with the temporal horns of the lateral ventricles. Cranial correction was performed by means of linear parasagittal craniectomies at three months of birth. As complications of the surgery, she had cerebrospinal fluid fistula and anemia. After the procedure, the infant had satisfactory evolution.
Conclusions: Kleeblattschädel syndrome is an unknown-origin rare variant of craniosynostosis. Early surgical treatment is ideal to meet surgical goals, in addition to preventing deterioration and improving the child's psychomotor development. The patient underwent surgery at three months of age and, despite the postoperative complication she evolved satisfactorily.


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