DR. NIRANJAN KARTHIK

DR.YOGESWARI ALAGAPPAN, DR.M. V. S. PRAKASH

Abstract

A 11 month male baby was brought with complaints of protrusion of right eye since birth. History of a normal vaginal delivery at 7 months of pregnancy, baby’s birth weight was 2.45 kg. Child is born to 2nd degree consanguineous parents. Child was not fixing and following to light. Examination revealed a fullness over the right temporal fossa and displacement of ear lobe downwards, proptosis of right eye with shallow orbit ,upper & lower eyelid ectropion with exposure keratitis and calcified cornea with absence of normal blinking. Left eye examination showed a pthysical eye. A clinical diagnosis of craniosynostosis/ Kleeblatt-Schladel syndrome was made. CT brain revealed craniosynostosis associated with hydrocephalus. The child was referred to the neurosurgery department for further evaluation of hydrocephalus. This case is presented to highlight the rare presentation of craniosynostosis and the need of a coordinated multi department approach for management of such cases.