Evidence map›Paper›PMID 26298825›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2015

Diagnostic features of prematurely fused cranial sutures on plain skull X-rays.

Tilmann Schweitzer, Felix Kunz, Philipp Meyer-Marcotty, Urs Dietmar Achim Müller-Richter, Hartmut Böhm, Clemens Wirth, Ralf-Ingo Ernestus, Christian Linz

Abstract read
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In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Atypical sagittal suture craniosynostosis: pathological considerations for early closure of the anterior part of the sagittal suture.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  3. Article
  4. Imaging in craniosynostosis: when and what?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Review
  5. Craniosynostosis : Updates in Radiologic Diagnosis.Journal of Korean Neurosurgical Society · 2016
    Review
  6. X-rays for diagnosis of craniosynostosis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Tilmann SchweitzerDepartment of Neurosurgery, Section of Pediatric Neurosurgery, University Hospital of Würzburg, Josef-Schneider-Straße 11, 97080, Würzburg, Germany. schweitzer_t@ukw.de.
Felix KunzDepartment of Orthodontics, University Hospital of Würzburg, Würzburg, Germany.
Philipp Meyer-MarcottyDepartment of Orthodontics, University of Göttingen, Göttingen, Germany.
Urs Dietmar Achim Müller-RichterDepartment of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany.
Hartmut BöhmDepartment of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany.
Clemens WirthDepartment of Pediatric Radiology, Institute of Diagnostic and Interventional Radiology, University Hospital of Würzburg, Würzburg, Germany.
Ralf-Ingo ErnestusDepartment of Neurosurgery, University Hospital of Würzburg, Würzburg, Germany.
Christian LinzDepartment of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe characteristic features of prematurely fused craniosynostosis in plain radiographs have already been described in literature, but there is no clinical trial investigating the individual features of every single form of craniosynostosis. We described suture-specific characteristics as well as its frequency of appearance in plain radiographs in every different form of craniosynostosis. Intraoperative findings served as control to confirm the diagnosis.

methodsOne hundred twenty-seven children with prematurely fused cranial sutures who underwent a skull X-ray from 2008 to 2012 were investigated in the present study. In detail, 34 children with frontal, 60 with sagittal, 13 with unilateral and 14 with bilateral coronal synostosis and 3 with unilateral lambdoid craniosynostosis as well as 3 children with a bilateral lambdoid synostosis were included.

resultsTypical radiological characteristics in craniosynostosis exist. These features as well as its frequency in craniosynostosis in plain skull radiographs are presented. In all cases, these typical features enabled a correct diagnosis, which was confirmed by intraoperative findings.

conclusionThe frequency of the appearance of typical features is listed and may serve as a "mental internal check list" in the radiological approach to craniosynostosis. The study points out the value of plain skull X-rays as it enabled proper diagnosis in all investigated 127 cases.

Indexed as

Cranial SuturesDiagnosis, DifferentialFemaleHumansInfantInfant, NewbornMalePremature BirthRadiographyRetrospective StudiesSynostosisX-RaysCranial sutureCraniosynostosisDiagnostic featureImagingPlain skull X-ray

Identifiers

PMID26298825

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.