Possible Causes for cranial asymmetry Brachycephaly The authors conclude that orthotic therapy is a safe and effective therapeutic modality for position cranial asymmetries. [ncbi.nlm.nih.gov] BACKGROUND: Positional plagiocephaly is the most common cause of cranial asymmetry. [ncbi.nlm.nih.gov] Other studies have already showed major decreases in the value of the cranial asymmetry index with orthesis treatment. [scielo.br] Craniosynostosis The adverse effects associated with surgical correction of craniosynostosis include cerebrospinal fluid leak, injury to the brain, wound healing problems, cranial asymmetry [cancertherapyadvisor.com] Since the early 1990s, US pediatricians have seen an increase in the number of children with cranial asymmetry, particularly unilateral flattening of the occiput, likely attributable [pediatrics.aappublications.org] asymmetry sleep positioning SIDS Back to Sleep tummy time INTRODUCTION Flattening of the occiput and asymmetrical skull molding may be caused by mechanical factors that act [pediatrics.aappublications.org] Crouzon Syndrome Despite presence of clinical features of cranial and facial asymmetry, frontal bossing, hypertelorism, recurrent eye infections, restricted neck movements and abnormal changes [omicsonline.org] The patient’s neurological examination revealed early signs of quadriparesis and was immediately taken up for posterior cranial fossa decompression surgery. [omicsonline.org] When investigated thoroughly the case was identified as an undiagnosed case of Crouzon syndrome with Arnold Chiari Type I malformation with syringomyelia and asymmetry of [omicsonline.org] Acrocephalopolysyndactyly asymmetry). [rarediseases.org] Systemic Features: Premature synostosis involves numerous cranial sutures with the sagittal suture commonly involved causing acrocephaly (tower skull). [disorders.eyes.arizona.edu] In addition, the cranial sutures often fuse unevenly, causing the head and face to appear dissimilar from one side to the other (craniofacial asymmetry). [rarediseases.org] Saethre-Chotzen Syndrome The features of the syndrome include: turriplagiocephaly with a cranial circumference of 52 cm, facial asymmetry, low hairline, proptosis, antimongoloid slanting of palpebral [ncbi.nlm.nih.gov] Generally it is accepted that individuals should undergo a cranioplasty within the first year of life; this helps prevent progressive facial asymmetry, increased inter-cranial [wiki.ggc.usg.edu] Wolf-Hirschhorn Syndrome asymmetry Droopy eyelids Dental abnormalities DImple at the base of spine Aside from the possibly physical properties due to Wolf-Hirschhorn syndrome, patients diagnosed [wiki.ggc.edu] Heart problems Underdeveloped bones of the head and pelvis Cranial asymmetry Malformation of the organs of the urinary system Malformation of bones in chest and spine Distinctive [medicalsubstance.com] [wolfhirschhorn.org] Musculoskeletal Cranial Asymmetry Heart problems Underdeveloped bones of the head and pelvis Cranial asymmetry Malformation of the organs of the urinary [symptoma.com] Freeman-Sheldon Syndrome The Freeman-Sheldon syndrome is a rare congenital myopathy and dysplasia. Fibrotic contractures of the facial muscles result in the characteristic "whistling face". Difficulties with intubation may be attributed in part to microstomia and micrognathia. In addition to other deformities, limb myopathy results in ulnar[…] [ncbi.nlm.nih.gov] Abdominal Pregnancy The most common deformations observed were facial and/or cranial asymmetry and various joint abnormalities. [ncbi.nlm.nih.gov] The infant’s head circumference was 40cm (5th centile); the cranial asymmetry was barely noticeable. [doi.org] Besides slight cranial asymmetry the examination of the newborn baby was unremarkable. The baby’s head circumference was 32cm (5th centile). [doi.org] Skull Fracture Early recognition and surgical repair is essential to prevent the development of neurological complications and cranial asymmetry. [Indexed for MEDLINE] Free full text [ncbi.nlm.nih.gov] BACKGROUND: Growing skull fracture (GSF) is a rare complication of pediatric skull fractures and causes delayed-onset neurological deficits and cranial asymmetry. [ncbi.nlm.nih.gov] Untreated GSFs may cause delayed-onset neurological manifestations in addition to cranial growth asymmetry. These enormous-sized GSFs may be difficult to treat. [ncbi.nlm.nih.gov] Craniosynostosis Type 4 asymmetry and lambdoid synostosis in a sibship. ( 4010909 ) Lohse D.C....Ment L.R. 1985 43 Lambdoid synostosis. [malacards.org] Most children with cranial asymmetry simply have positional plagiocephaly. [nicklauschildrens.org] Neurosurgery 1980;6:39-44 Lohse DC, et al: Cranial asymmetry and lambdoid synostosis in a sibship. [skullbaseinstitute.com] Temporomandibular Joint Disorder acquired edentulism, hemifacial asymmetries, restorative occlusal rehabilitation), which can contribute to the manifestation of TMD. [aafp.org] Cranial nerve abnormalities should not be attributed to TMD. 14 A clicking, crepitus, or locking of the TMJ may accompany joint dysfunction. [aafp.org] Craniosynostosis Type 3 Cranial vault asymmetry index (CVAI) and cranial index (CI) were calculated and analyzed using a descriptive statistical general linear model. [search.pedro.org.au] […] vault asymmetry and index. [clinicaltrials.gov] The most significant measurements used in this initial evaluation are skull base asymmetry, cranial vault asymmetry, orbitotragial depth, and cephalic index. [aetna.com] Polyneuropathy Trunk musculature and cranial nerves may be involved. Demyelination typically occurs along the entire length of a nerve, causing proximal and distal symptoms. [merckmanuals.com] There may be side-to-side asymmetries, and the upper body may be affected before the lower body, or vice versa. Muscle bulk and tone are relatively preserved. [merckmanuals.com] Disorder of Manganese Transport Via whole-exome sequencing, we studied a child that presented with cranial asymmetry, severe infantile spasms with hypsarrhythmia, and dysproportionate dwarfism. [uniprot.org] Oculopalatoskeletal Syndrome There was also spina bifida occulta, radioulnar synostosis and cranial asymmetry. Two of the sibs had lambdoidal craniosynostosis. [fdna.health] Sometimes other skeletal defects in the form of spina bifida occulta, cranial asymmetry, abnormality of the occipital bone in addition to micrognathia are found. [1], [4], [ijo.in] Isolated Synostotic Plagiocephaly The use of computed tomography (CT) imaging is only indicated in case of an ISP suspicion, particularly if infant repositioning does not improve cranial asymmetry over weeks [symptoma.com] Neurosurgery 1980;6:39-44 Lohse DC, et al: Cranial asymmetry and lambdoid synostosis in a sibship. [skullbaseinstitute.com] The most significant measurements used in this initial evaluation are skull base asymmetry, cranial vault asymmetry, orbitotragial depth, and cephalic index. [aetna.com] Diabetic Autonomic Neuropathy […] hammer toes Evaluation of all positive screening findings Annual diabetes evaluation Evaluation for neuropathy as discussed above Sensorimotor examination and evaluation of cranial [aafp.org] […] pretrophic (red) areas, especially between toes Neurologic examination using the 5.07 Semmes-Weinstein (10-g) nylon filament test (10-g monofilament test) Inspection of feet for asymmetry [aafp.org] Joint Subluxation Included in the clinical picture are lowered resistance to infections, especially to ear-, nose- and throat infections, two cases of insomnia, two cases of cranial bone asymmetry [alignedhealthcenterwestlake.com] Microtia Evaluate seventh cranial nerve function, looking for asymmetry of facial motor activity which is not uncommon in patients with microtia. [journalofethics.ama-assn.org] X-Linked Mandibulofacial Dysostosis asymmetry, ptosis, malformed ears UNK DiGeorge syndrome chromosome region CATCH22 22q11 188400 DiGeorge syndrome 188400 AD low-set ears, short ears, small mouth, submucous [widesmiles2.org] […] malformed ears TF Twist TWIST 7p21 601622 Saethre-Chotzen syndrome 101400 AD craniosynostosis, acrocephaly, brachycephaly, flat facies, thin long pointed nose, cleft palate, cranial [widesmiles2.org] Congenital Malformation Syndromes Involving Early Overgrowth asymmetry * Bulbous nose * Long philtrum * Nasal stenosis * Small mouth * Down turned corners of mouth * Midline in lower ip * Highly arched palate * Asymmetrical thorax [checkorphan.org] asymmetry Cognitive impairment Atrial septal defect Spina bifida occulta Ventricular septal defect Abnormality of the skeletal system Hernia Pes planus Coloboma Renal cyst [mendelian.co] Craniosynostosis * Low set ears * Cupped ears * Downward slanting space between eyelids * Blepharophimosis * Turricephaly * Small jaw * Retrognathia * Sloping forehead * Cranial [checkorphan.org] Gingivostomatitis […] base relationship) K07.10 턱의 비대칭(Asymmetry of jaw) K07.11 K07.12 K07.13 하악의 후퇴증(Mandibular regrognathism ) K07.14 상악의 후퇴증(Maxillary regrognathism ) K07.18 기타 명시된 턱-두개골저의 [koicd.kr] 관계이상(Other specified anomalies of jaw-cranial base relationship) K07.19 상세불명의 턱-두개골저의 관계이상(Anomalies of dental arch relationship, unspecified) K07.2 치열궁 관계의 이상(Anomalies of [koicd.kr] […] hypoplasia]) K07.05 K07.08 기타 명시된 턱크기의 이상(Other specified jaw size anomalies) K07.09 상세불명의 턱크기의 이상(Anomaly of jaw size, unspecified) K07.1 턱-두개골저의 관계이상(Anomalies of jaw-cranial [koicd.kr] Autosomal Dominant Prognathism asymmetry, ptosis, malformed ears UNK DiGeorge syndrome chromosome region CATCH22 22q11 188400 DiGeorge syndrome 188400 AD low-set ears, short ears, small mouth, submucous [en.wikibooks.org] No dysmorphism, abnormal facial features, bone fractures, or cranial nerve involvement was found. [academic.oup.com] […] malformed ears TF Twist TWIST 7p21 601622 Saethre-Chotzen syndrome 101400 AD craniosynostosis, acrocephaly, brachycephaly, flat facies, thin long pointed nose, cleft palate, cranial [en.wikibooks.org] Acute Sensorineural Hearing Loss by Acute Acoustic Trauma Findings of particular concern are Abnormalities of cranial nerves (other than hearing loss) Significant asymmetry in speech understanding between the 2 ears Other neurologic [merckmanuals.com] Cerebral Neoplasm and cranial nerve paresis [136]. [cancernetwork.com] The most common signs and symptoms include headache, lower motor weakness, paresthesias, back and neck pain, diplopia, mental status change, reflex asymmetry, sensory loss [cancernetwork.com] Congenital Mandibular Hypoplasia […] base relationship M26.10 Unspecified anomaly of jaw-cranial base relationship M26.11 Maxillary asymmetry M26.12 Other jaw asymmetry M26.19 Other specified anomalies of jaw-cranial [icd10data.com] Evaluate seventh cranial nerve function, looking for asymmetry of facial motor activity which is not uncommon in patients with microtia. [journalofethics.ama-assn.org] […] hypoplasia M26.03 Mandibular hyperplasia M26.04 Mandibular hypoplasia M26.07 Excessive tuberosity of jaw M26.09 Other specified anomalies of jaw size M26.1 Anomalies of jaw-cranial [icd10data.com] Opitz G/BBB Syndrome Type 2 asymmetry 0000267 Cryptorchidism Undescended testes Undescended testis [ more ] 0000028 Depressed nasal bridge Depressed bridge of nose Flat bridge of nose Flat nasal bridge [rarediseases.info.nih.gov] Coarctation of aorta Narrowing of aorta Narrowing of the aorta [ more ] 0001680 Conductive hearing impairment Conductive deafness Conductive hearing loss [ more ] 0000405 Cranial [rarediseases.info.nih.gov] Subdural Hematoma Figure 4: Cranial CT scan of case 3 at time of head injury showing an inconsequential right-sided acute subdural hematoma (note the asymmetry on the right). [medschool.lsuhsc.edu] Familial Scaphocephaly Syndrome Cranial asymmetry is more common today in infants than ever before. [greop.com] Characteristic features include coronal synostosis (usually unilateral) with restriction in growth of the anterior cranial base, a low set frontal hairline and facial asymmetry [cincinnatichildrens.org] There are no hard-and-fast rules for who will benefit from cranial orthotic therapy, but baby helmets are typically reserved for extreme cases. [thebump.com] Hemimegalencephaly Cranial asymmetry is the first clinical sign usually present at birth; in the most severe cases, hemimegalencephaly may be evident during pregnancy. [ncbi.nlm.nih.gov] asymmetry, hemiparesis, epilepsy, and mental retardation. [jpatholtm.org] Cranial asymmetry and central nervous system manifestations (generalized seizures, hemimegalencephaly, dysgenesis of the corpus callosum and neuronal migration defects) have [orpha.net]
