Kraniosinostoz: Oftalmik Bulgular
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Dosyalar
Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Kraniosinostoz, bir ya da daha fazla kranial sütürün erken kapanmasıyla karakterizedir. Bu gelişimsel anomali, her 2000 doğumda bir çocuğu etkilemektedir. Erken sütür kapanması sporadik olarak izole bir anomali ya da çoğu otozomal dominant olan sendromlara eşlik edebilir. Sendromik olmayan olgular daha sendromik olgulara göre daha sıklıkla gözlenir. En sık görülen sendromlar Apert, Crouzon, Pfeiffer ve Saethre-Chotzen olarak bildirilmiştir. Oftalmik bulgular hafif hipertelorizmden, görme kaybı ile sonlanabilecek şaşılık, değişken proptozis, optik atrofi ve keratite kadar geniş tabloda olabilir. Oftalmologlar, çoğu engellenebilir görme kaybı sebeplerini belirleyerek, medikal tedaviye yanıt vermeyen olgularda rekonstrüktif cerrahinin miktarı ve zamanlamasında kraniofasiyal cerrah ile ekip halinde çalışmalıdır.
Craniosynostosis is characterized by premature closure of one or more cranial sutures. This developmental abnormality affects one child in every 2000 births. Premature closure of sutures may be seen as an isolated sporadic abnormality or may accompany syndromes, most of which are autosomal dominant. Non-syndromic cases are more frequently observed than syndromic cases. The most frequent syndromes have been reported as Apert, Crouzon, Pfeiffer and Saethre-Chotzen. Ophthalmic features may vary from mild hypertelorism to severe vision-threating strabismus, variable proptosis, optic atrophy and keratitis. The ophthalmologist should be part of the craniofacial surgical team in order to recognize the possible preventable causes of visual loss and determine the timing and extent of reconstructive surgery in those cases that are non-responsive to medical treatment.
Craniosynostosis is characterized by premature closure of one or more cranial sutures. This developmental abnormality affects one child in every 2000 births. Premature closure of sutures may be seen as an isolated sporadic abnormality or may accompany syndromes, most of which are autosomal dominant. Non-syndromic cases are more frequently observed than syndromic cases. The most frequent syndromes have been reported as Apert, Crouzon, Pfeiffer and Saethre-Chotzen. Ophthalmic features may vary from mild hypertelorism to severe vision-threating strabismus, variable proptosis, optic atrophy and keratitis. The ophthalmologist should be part of the craniofacial surgical team in order to recognize the possible preventable causes of visual loss and determine the timing and extent of reconstructive surgery in those cases that are non-responsive to medical treatment.
Açıklama
Anahtar Kelimeler
Cerrahi, Nörolojik Bilimler, Hipertelorizm, Kraniosinostoz, Proptozis, Telekantüs, Hypertelorism, Craniosynostosis, Proptosis, Telecanthus
Kaynak
Türk Nöroşirürji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
27
Sayı
3
Künye
Köktekir, B. E., (2017). Kraniosinostoz: Oftalmik Bulgular. Türk Nöroşirürji Dergisi, 27(3), 290-292.