Cleidocranial dysplasia, a rare skeletal disorder with failure of the cranial closure: case-based update

Childs Nerv Syst. 2020 Dec;36(12):2913-2918. doi: 10.1007/s00381-020-04831-z. Epub 2020 Jul 30.

Abstract

Background and aim: Cleidocranial dysplasia is a rare disorder of skeletal development that mainly promotes, among other malformations, inadequate development of clavicles and failure in cranial closure. In this affection, the role of neurosurgery in addressing cranial defects is rarely discussed.

Material and methods: We conducted an extensive review of the literature using the PubMed database, giving a greater focus to publications in the field of neurosurgery. Additionally, we report a case of a 2-year-old female child with cleidocranial dysplasia.

Results: In our review, we encountered several cases of orthodontic implications but a few cases on cranial defect approach.

Conclusion: The articles present literature that is unanimous on the recommendation of expectant conduct in children since the cranial block can occur spontaneously, even if the delayed form. In our approach, we opted for an expected strategy concerning the cranial defect, using a helmet made for brain protection. We also made the referral for multidisciplinary monitoring of pediatrics, neuropediatrics, ophthalmology, dentistry, and orthopedics.

Keywords: Cleidocranial dysostosis; Craniofacial abnormalities; RUNX2 mutation; Skeletal disorders.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Child, Preschool
  • Cleidocranial Dysplasia* / diagnostic imaging
  • Female
  • Head Protective Devices
  • Humans
  • Skull