Cloverleaf Skull

  • Etiology: In utero craniosynostosis
  • Imaging:
    — Synostosis of sagittal and coronal and lambdoid sutures with or without metopic suture
    — Compensatory widening of squamosal sutures
  • DDX:
  • Complications:
  • Treatment: Surgical
  • Clinical: Can be seen in Crouzon Syndrome, thanatophoric dysplasia, Apert syndrome

Radiology Cases of Cloverleaf Skull

Radiograph and 3D CT of cloverleaf skull
AP (above left) and lateral (above right) radiographs of the skull and anterior (below left) and lateral (below right) 3D CT reconstructions of the skull show fusion of the bilateral coronal sutures, bilateral lambdoid sutures, metopic suture and anterior and posterior aspects of the sagittal suture. There is compensatory widening of the bilateral squamosal sutures. Hypotelorism is present and there are quizzical eye deformities present bilaterally.