Abstract

Background: Craniosynostosis is a congenital condition characterized by premature fusion of cranial sutures, leading to abnormal skull growth and potential neurological and respiratory complications. It may be associated with syndromic conditions such as Crouzon syndrome. Case Presentation: A 6-month-old female infant presented with cough, cold, fever, and lethargy. She had a history of prolonged neonatal intensive care unit (NICU) stay and delayed cry at birth. On examination, the child was undernourished, lethargic, and had abnormal craniofacial features, including frontal bossing, midfacial hypoplasia, depressed nasal bridge, short neck, and limb deformities (syndactyly and oligodactyly). Respiratory distress with stridor was noted. The patient was diagnosed with craniosynostosis syndrome with midfacial hypoplasia, bilateral choanal atresia, and stage 3 acute kidney injury. Management and Outcome: The child received supportive care including oxygen therapy, fluid management, and monitoring in a pediatric intensive care unit (PICU). Nursing care focused on airway management, monitoring vital parameters, and maintaining hygiene and nutrition. Conclusion: Early recognition of craniosynostosis and associated syndromic features is essential for timely intervention. Multidisciplinary management plays a key role in improving outcomes.

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