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Dense calvaria

MedGen UID:
343213
Concept ID:
C1854834
Finding
Synonym: Dense skull cap
 
HPO: HP:0000250

Definition

An abnormal increase of density of the bones making up the calvaria. [from HPO]

Term Hierarchy

Conditions with this feature

Mucopolysaccharidosis, MPS-III-A
MedGen UID:
39264
Concept ID:
C0086647
Disease or Syndrome
Mucopolysaccharidosis type III (MPS III) is a multisystem lysosomal storage disease characterized by progressive central nervous system degeneration manifest as severe intellectual disability (ID), developmental regression, and other neurologic manifestations including autism spectrum disorder (ASD), behavioral problems, and sleep disturbances. Disease onset is typically before age ten years. Disease course may be rapidly or slowly progressive; some individuals with an extremely attenuated disease course present in mid-to-late adulthood with early-onset dementia with or without a history of ID. Systemic manifestations can include musculoskeletal problems (joint stiffness, contractures, scoliosis, and hip dysplasia), hearing loss, respiratory tract and sinopulmonary infections, and cardiac disease (valvular thickening, defects in the cardiac conduction system). Neurologic decline is seen in all affected individuals; however, clinical severity varies within and among the four MPS III subtypes (defined by the enzyme involved) and even among members of the same family. Death usually occurs in the second or third decade of life secondary to neurologic regression or respiratory tract infections.
Mucopolysaccharidosis, MPS-III-B
MedGen UID:
88601
Concept ID:
C0086648
Disease or Syndrome
Mucopolysaccharidosis type III (MPS III) is a multisystem lysosomal storage disease characterized by progressive central nervous system degeneration manifest as severe intellectual disability (ID), developmental regression, and other neurologic manifestations including autism spectrum disorder (ASD), behavioral problems, and sleep disturbances. Disease onset is typically before age ten years. Disease course may be rapidly or slowly progressive; some individuals with an extremely attenuated disease course present in mid-to-late adulthood with early-onset dementia with or without a history of ID. Systemic manifestations can include musculoskeletal problems (joint stiffness, contractures, scoliosis, and hip dysplasia), hearing loss, respiratory tract and sinopulmonary infections, and cardiac disease (valvular thickening, defects in the cardiac conduction system). Neurologic decline is seen in all affected individuals; however, clinical severity varies within and among the four MPS III subtypes (defined by the enzyme involved) and even among members of the same family. Death usually occurs in the second or third decade of life secondary to neurologic regression or respiratory tract infections.
Mucopolysaccharidosis, MPS-III-C
MedGen UID:
39477
Concept ID:
C0086649
Disease or Syndrome
Mucopolysaccharidosis type III (MPS III) is a multisystem lysosomal storage disease characterized by progressive central nervous system degeneration manifest as severe intellectual disability (ID), developmental regression, and other neurologic manifestations including autism spectrum disorder (ASD), behavioral problems, and sleep disturbances. Disease onset is typically before age ten years. Disease course may be rapidly or slowly progressive; some individuals with an extremely attenuated disease course present in mid-to-late adulthood with early-onset dementia with or without a history of ID. Systemic manifestations can include musculoskeletal problems (joint stiffness, contractures, scoliosis, and hip dysplasia), hearing loss, respiratory tract and sinopulmonary infections, and cardiac disease (valvular thickening, defects in the cardiac conduction system). Neurologic decline is seen in all affected individuals; however, clinical severity varies within and among the four MPS III subtypes (defined by the enzyme involved) and even among members of the same family. Death usually occurs in the second or third decade of life secondary to neurologic regression or respiratory tract infections.

Professional guidelines

PubMed

Palkovics D, Bolya-Orosz F, Pinter C, Molnar B, Windisch P
BMC Oral Health 2022 Nov 15;22(1):490. doi: 10.1186/s12903-022-02513-7. PMID: 36376891Free PMC Article
Minor LB
Curr Opin Otolaryngol Head Neck Surg 2003 Oct;11(5):340-6. doi: 10.1097/00020840-200310000-00006. PMID: 14502064
Axon PR, Fergie N, Saeed SR, Temple RH, Ramsden RT
Am J Otol 1999 Jul;20(4):505-10. PMID: 10431894

Recent clinical studies

Etiology

Rodrigues MTV, Guillen GA, Macêdo FGC, Goulart DR, Nóia CF
J Oral Maxillofac Surg 2023 Feb;81(2):213-223. Epub 2022 Oct 22 doi: 10.1016/j.joms.2022.10.008. PMID: 36400157
Raju D, Bhosle R, Krishnan P
Neurol India 2022 Jul-Aug;70(4):1629-1634. doi: 10.4103/0028-3886.355177. PMID: 36076671
Condon JR
Postgrad Med J 2019 Feb;95(1120):85-90. Epub 2019 Jan 25 doi: 10.1136/postgradmedj-2018-136193. PMID: 30683679
Ryvlin P, Picard F
J Clin Neurophysiol 2017 Jul;34(4):328-332. doi: 10.1097/WNP.0000000000000395. PMID: 28644203
Kumar KK, Hallikeri K
Indian J Pathol Microbiol 2008 Oct-Dec;51(4):556-8. doi: 10.4103/0377-4929.43761. PMID: 19008596

Diagnosis

Benson JC, Lane JI
Neuroimaging Clin N Am 2022 Nov;32(4):763-775. Epub 2022 Sep 21 doi: 10.1016/j.nic.2022.07.010. PMID: 36244722
Ryvlin P, Picard F
J Clin Neurophysiol 2017 Jul;34(4):328-332. doi: 10.1097/WNP.0000000000000395. PMID: 28644203
Suresh S, Abel AS, Younge BR, Bilyk JR, Lee MS
Surv Ophthalmol 2016 May-Jun;61(3):357-62. Epub 2015 Oct 8 doi: 10.1016/j.survophthal.2015.10.001. PMID: 26453797
Kumar KK, Hallikeri K
Indian J Pathol Microbiol 2008 Oct-Dec;51(4):556-8. doi: 10.4103/0377-4929.43761. PMID: 19008596
Minor LB
Curr Opin Otolaryngol Head Neck Surg 2003 Oct;11(5):340-6. doi: 10.1097/00020840-200310000-00006. PMID: 14502064

Therapy

Alotaibi FF, Rocchietta I, Buti J, D'Aiuto F
J Clin Periodontol 2023 Nov;50(11):1487-1519. Epub 2023 Jul 26 doi: 10.1111/jcpe.13850. PMID: 37495541
Rodrigues MTV, Guillen GA, Macêdo FGC, Goulart DR, Nóia CF
J Oral Maxillofac Surg 2023 Feb;81(2):213-223. Epub 2022 Oct 22 doi: 10.1016/j.joms.2022.10.008. PMID: 36400157
Raju D, Bhosle R, Krishnan P
Neurol India 2022 Jul-Aug;70(4):1629-1634. doi: 10.4103/0028-3886.355177. PMID: 36076671
Condon JR
Postgrad Med J 2019 Feb;95(1120):85-90. Epub 2019 Jan 25 doi: 10.1136/postgradmedj-2018-136193. PMID: 30683679
Kamada T, Tsujii H, Blakely EA, Debus J, De Neve W, Durante M, Jäkel O, Mayer R, Orecchia R, Pötter R, Vatnitsky S, Chu WT
Lancet Oncol 2015 Feb;16(2):e93-e100. doi: 10.1016/S1470-2045(14)70412-7. PMID: 25638685

Prognosis

Lim D, Tan CC, Tilakaratne WM, Goh YC
Braz J Otorhinolaryngol 2022 Jan-Feb;88(1):118-129. Epub 2021 Feb 27 doi: 10.1016/j.bjorl.2021.01.007. PMID: 33715971Free PMC Article
Bai J, Shi J, Zhang S, Zhang C, Zhai Y, Wang S, Li M, Li C, Zhao P, Geng S, Gui S, Jing L, Zhang Y
AJNR Am J Neuroradiol 2020 May;41(5):852-858. Epub 2020 May 7 doi: 10.3174/ajnr.A6557. PMID: 32381547Free PMC Article
Gibney B, Redmond CE, Byrne D, Mathur S, Murray N
Can Assoc Radiol J 2020 Aug;71(3):253-265. Epub 2020 Feb 28 doi: 10.1177/0846537120904347. PMID: 32106693
Condon JR
Postgrad Med J 2019 Feb;95(1120):85-90. Epub 2019 Jan 25 doi: 10.1136/postgradmedj-2018-136193. PMID: 30683679
Sarode SC, Sarode GS, Waknis P, Patil A, Jashika M
Oral Oncol 2011 Dec;47(12):1110-6. Epub 2011 Aug 12 doi: 10.1016/j.oraloncology.2011.06.513. PMID: 21840246

Clinical prediction guides

Romanos G, Zamparini F, Spinelli A, Prati C, Gandolfi MG
Int J Oral Maxillofac Implants 2022 May-Jun;37(3):e51-e60. doi: 10.11607/jomi.9228. PMID: 35727252
Lim D, Tan CC, Tilakaratne WM, Goh YC
Braz J Otorhinolaryngol 2022 Jan-Feb;88(1):118-129. Epub 2021 Feb 27 doi: 10.1016/j.bjorl.2021.01.007. PMID: 33715971Free PMC Article
Živković ND, Mihailović DS, Kostić MS, Cvetanović AS, Mijović ŽŽ, Milentijević MV, Denčić TV
Ear Nose Throat J 2017 Sep;96(9):376-383. PMID: 28931192
Andisheh B, Brahme A, Bitaraf MA, Mavroidis P, Lind BK
J Neurosurg 2009 Nov;111(5):919-26. doi: 10.3171/2007.10.17205. PMID: 19392591
O'Rahilly R, Müller F
J Anat 2007 Sep;211(3):335-51. doi: 10.1111/j.1469-7580.2007.00773.x. PMID: 17848161Free PMC Article

Recent systematic reviews

Alotaibi FF, Rocchietta I, Buti J, D'Aiuto F
J Clin Periodontol 2023 Nov;50(11):1487-1519. Epub 2023 Jul 26 doi: 10.1111/jcpe.13850. PMID: 37495541
Pachêco-Pereira C, Almeida FT, Chavda S, Major PW, Leite A, Guerra ENS
Oral Dis 2019 May;25(4):1009-1026. Epub 2018 Sep 17 doi: 10.1111/odi.12950. PMID: 30086203

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