INSIDIOUS ONSET OF FAMILIAL CRANIOSYNOSTOSIS

A mother, son, and daughter are presented, in whom serial photographs document an insidious and late onset of exorbitism and midfacial retru sion consistent with a diagnosis of familial nonsyndromic craniosynost osis. Papilledema was found in the 4.5-year-old daughter because of in creased intracranial pressure secondary to a reduction in cranial vaul t size, whereas optic nerve sheath swelling on CT scan was found in th e son.