Fig. 1

Craniofacial features of the index patient presenting with bilateral lambdoid and sagittal synostosis (a-e). Mother of the index patient (f). (a) First visit at the age of seven weeks and two days. Constriction of the posterior skull, with a compensatory forehead expansion, and slight hypertelorism (b) The forehead expansion was more pronounced before operation at the age of 5 months. (c) After operation at the age of 6 months. Note brachycephalic head shape, and mild exorbitism (d) After operation at the age of 13 months. Note brachycephalic head shape, and more pronounced exorbitism (e) Index patient at the age of 3 years and 6 months. Note a normal head shape, and even more pronounced exorbitism (f) Mother of the index patient at the age of 26 years, operated for a sagittal synostosis at the age of 5 years. Note a scaphocephalic head shape, and exorbitism