Abstract
Knowledge of normal suture lines is necessary to recognize abnormalities and normal variants in pediatric patients and even later in adults. The typical, normally patent sutures that can be seen in children under 6 months of age are shown in Fig. 25.1. The following pages describe normal anatomy of the sutures of the skull base, basiocciput, and orbitofrontal region that can simulate fractures or other disease in children and less commonly in adults.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Alcalá-Galiano A, Arribas-García IJ, Martín-Pérez MA, Romance A, Montalvo-Moreno JJ, Juncos JM. Pediatric facial fractures: children are not just small adults. Radiographics. 2008;28:441–61.
Belden CJ, Mancuso AA, Kotzur IM. The developing anterior skull base: CT appearance from birth to 2 years of age. AJNR Am J Neuroradiol. 1997;18:811–8.
Connor SE, Tan G, Fernando R, Chaudhury N. Computed tomography pseudofractures of the mid face and skull base. Clin Radiol. 2005;60:1268–79.
Dupuis O, Silveira R, Dupont C, Mottolese C, Kahn P, Dittmar A, Rudigoz RC. Comparison of “instrument-associated” and “spontaneous” obstetric depressed skull fractures in a cohort of 68 neonates. Am J Obstet Gynecol. 2005;192:165–70.
Furuya Y, Edwards MS, Alpers CE, Tress BM, Ousterhout DK, Norman D. Computerized tomography of cranial sutures. Part 1: comparison of suture anatomy in children and adults. J Neurosurg. 1984a;61:53–8.
Furuya Y, Edwards MS, Alpers CE, Tress BM, Norman D, Ousterhout DK. Computerized tomography of cranial sutures. Part 2: abnormalities of sutures and skull deformity in craniosynostosis. J Neurosurg. 1984b;61:59–70.
Freyschmidt J, Brossman J, Sternberg A, Wiens J. Skull. In: Freyschmidt's Koehler/Zimmer’s borderlands of normal and early pathological findings in skeletal radiography. 5th ed. Tubingen: Thieme; 2003.
Glass RB, Fernbach SK, Norton KI, Choi PS, Naidich TP. The infant skull: a vault of information. Radiographics. 2004;24:507–22.
Gray H. The interior of the skull. In: Anatomy of the human body. 29th ed. Philadelphia: Lea & Feiger; 1918.
Hedlund G. Congenital frontal nasal masses: developmental anatomy, malformations, and MR imaging. Pediatr Radiol. 2006;36:647–62.
Keats TE, Anderson MW. Skull. In: Atlas of normal Roentgen variants that may simulate disease. 8th ed. Philadelphia: Mosby, Inc.; 2007.
Keskil S, Gözil R, Calgüner E. Common surgical pitfalls in the skull. Surg Neurol. 2003;59:228–31.
Madeline LA, Elster AD. Postnatal development of the central skull base: normal variants. Radiology. 1995a;196:757–63.
Madeline LA, Elster AD. Suture closure in the human chondrocranium: CT assessment. Radiology. 1995b;196:747–56.
Nemzek WR, Brodie HA, Hecht ST, Chong BW, Babcook CJ, Seibert JA. MR, CT, and plain film imaging of the developing skull base in fetal specimens. AJNR Am J Neuroradiol. 2000;21:1699–706.
Schratter M, Canigiani G, Karnel F, Imhof H, Kumpan W. Occult fractures of the skull. Radiologe. 1985;25:108–13.
Seeger JF. Normal variations of the skull and its contents. In: Zimmerman RA, editor. Neuroimaging: clinical and physical principles. New York: Springer; 1999. p. 415–53.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
McKinney, A.M. (2017). Pediatric Skull: Normal Pediatric Sutures on Computed Tomography. In: Atlas of Normal Imaging Variations of the Brain, Skull, and Craniocervical Vasculature . Springer, Cham. https://doi.org/10.1007/978-3-319-39790-0_25
Download citation
DOI: https://doi.org/10.1007/978-3-319-39790-0_25
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-39789-4
Online ISBN: 978-3-319-39790-0
eBook Packages: MedicineMedicine (R0)