Abstract
A four years old boy was referred to Ibn-Sina Teaching
hospital / Mosul city complaining from deterioration of vision 2
months ago, which was documented by an ophthalmological
examination. A medical cranial imaging was taken; it showed
fusion of sagital, coronal and metopic sutures with diffused
beaten copper appearance. The patient was admitted to the
neurosurgical department, a measurement of intracranial pressure
via lumbar puncture and cerebrospinal fluid manometry showed a
340 mm CSF reading which is very high. Surgery was planned by
a neurosurgical and maxillofacial surgical team. Under general
anesthesia, a bi-coronal flap was raised, incision and removal of a
wide bony bar along the closed sagital cranial suture and the skull
bone was released by nibbling. The eye balls were separated from
the orbital bones, the anterior part of orbital roof was removed;
the flatted forehead was removed and reconstructed by using the
bone that was removed from the sagital area and fixed in its new
place by titanium plates and stainless wire. The postoperative
course was uneventful and the child's visual acuity returned to a
normal condition dramatically. Follow up for three years showed
normal cranial growth, normal vision and no medical
complications that may be related to the surgical operation
