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Dr. Andrew Rynne

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Considering Adoption Of Child With Craniosyostosis. CT Shows Hypodense Lesion In Brain, Visual Issues. Advise?

friend considering adoption of 9 month old male from Ethiopia with craniosyostosis. CT recieved shows hypodense lesions in about 3 or 4 areas of brain. Is this common with this dx? Child has visual issues right now and unable to hold head up. What are the chances he could turn out typical child given proper medical care including necessary surgeries
Fri, 28 Jun 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

In craniosynostosis, one should not see any hypodense lesions in brain, as it is a disease affecting the bones only.

However, as the bones are prematurely fused in this condition, it hampers proper brain growth. So, to ensure proper growth of brain, surgery is required.

With proper treatment, good improvement can be noted in the child.

Best wishes,
Dr Sudhir Kumar Md DM (Neurology)
Senior Consultant Neurologist
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Considering Adoption Of Child With Craniosyostosis. CT Shows Hypodense Lesion In Brain, Visual Issues. Advise?

Hi, Thank you for posting your query. In craniosynostosis, one should not see any hypodense lesions in brain, as it is a disease affecting the bones only. However, as the bones are prematurely fused in this condition, it hampers proper brain growth. So, to ensure proper growth of brain, surgery is required. With proper treatment, good improvement can be noted in the child. Best wishes, Dr Sudhir Kumar Md DM (Neurology) Senior Consultant Neurologist