Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, CA 90095, and Division of Plastic and Reconstructive Surgery, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh, PA, USA.
Abstract:
Pansynostosis (fusion of all cranial sutures) and optic atrophy were found as incidental CT scan and ophthalmological findings in an 8-year-old who presented to the emergency room with scalp edema from tight 'cornrow' hair braiding. Cranial vault expansion was successfully performed. Ophthalmological problems have stabilized but have not reversed. Late presentation of craniosynostosis and the pathophysiology of secondary optic atrophy are discussed.