Evidence map›Paper›PMID 41817755›Full record

SynthesisChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2026

Isolated frontosphenoidal suture synostoses: report of two cases and literature review.

Patricia Alessandra Dastoli, Wagner Lazaretto Padua, Thais Cristina de Souza Melo, Fernando Seiji Suzuki, Marcos Devanir Silva da Costa, Max Domingues Pereira, Sergio Cavalheiro

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Synthesis in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Patricia Alessandra DastoliDepartment of Neurology and Neurosurgery, Federal University of São Paulo, Rua Napoleão de Barros, 715, 6th Floor, São Paulo, SP, CEP, 04024-002, Brazil. paty.dastoli@uol.com.br.ORCID 0000-0001-7829-2830
Wagner Lazaretto PaduaDepartment of Neurology and Neurosurgery, Federal University of São Paulo, Rua Napoleão de Barros, 715, 6th Floor, São Paulo, SP, CEP, 04024-002, Brazil.
Thais Cristina de Souza MeloDepartment of Neurology and Neurosurgery, Federal University of São Paulo, Rua Napoleão de Barros, 715, 6th Floor, São Paulo, SP, CEP, 04024-002, Brazil.
Fernando Seiji SuzukiDepartment of Neurology and Neurosurgery, Federal University of São Paulo, Rua Napoleão de Barros, 715, 6th Floor, São Paulo, SP, CEP, 04024-002, Brazil.
Marcos Devanir Silva da CostaDepartment of Neurology and Neurosurgery, Federal University of São Paulo, Rua Napoleão de Barros, 715, 6th Floor, São Paulo, SP, CEP, 04024-002, Brazil.
Max Domingues PereiraDepartment of Surgery - Plastic Surgery, Federal University of São Paulo, Rua Botucatu, 740, 2nd Floor, São Paulo, CEP, 04023-062, Brazil.
Sergio CavalheiroDepartment of Neurology and Neurosurgery, Federal University of São Paulo, Rua Napoleão de Barros, 715, 6th Floor, São Paulo, SP, CEP, 04024-002, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnterior plagiocephaly is most commonly attributed to unilateral coronal synostosis. However, isolated premature fusion of the frontosphenoidal suture (FSC) represents a rare and often misdiagnosed cause due to its overlapping clinical presentation. Accurate diagnosis is essential, as treatment strategies and prognoses differ significantly.

objectivesTo present a comprehensive literature review of FSC and to report two novel clinical cases-one managed with open fronto-orbital advancement and the other with endoscopic suturectomy.

methodsA systematic review of reported FSC cases was performed and supplemented by two patients treated at our institution. Diagnosis was established using cranial computed tomography (CT) with three-dimensional (3D) reconstruction. The first patient underwent open fronto-orbital advancement, while the second was treated with early endoscopic suturectomy.

resultsIn both patients, isolated fusion of the frontosphenoidal suture was confirmed with preservation of the coronal sutures. The first patient, diagnosed at 9 months of age, presented with typical signs of anterior plagiocephaly without the Harlequin sign, and underwent open surgery with excellent postoperative craniofacial symmetry. The second patient, diagnosed earlier due to subtle craniofacial asymmetry, was treated endoscopically with favorable aesthetic results and no postoperative complications.

conclusionsFSC represents a rare and underrecognized cause of anterior plagiocephaly. High clinical suspicion is required in cases of atypical cranial asymmetry with open coronal sutures. Cranial CT with 3D reconstruction is essential for accurate diagnosis and identification of the suture involvement. Both open and endoscopic surgical approaches can achieve satisfactory outcomes when appropriately indicated.

Indexed as

Cranial SuturesCraniosynostosesFrontal BoneSphenoid BoneFemaleHumansInfantMaleTomography, X-Ray ComputedCraniofacial surgeryCraniosynostosisFrontal plagiocephalyFrontosphenoidal craniosynostosis

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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.