{"schema":"https://ver.cy/schemas/card/1.0.0","id":"vr.tr.craniosynostosis","code":"thing-q378183","url":"https://ver.cy/models/thing/q378183/","name":"craniosynostosis","alternateNames":["Say–Meyer syndrome","trigonocephaly-bifid nose-acral anomalies syndrome","Lin-Gettig syndrome","craniosynostosis-hydrocephalus-Arnold-Chiari malformation type I-radioulnar synostosis syndrome","Kleeblattschaedel","trigonocephaly","scaphocephaly","Shprintzen-Goldberg syndrome","craniosynostosis 6","syndromic craniosynostosis","Calabro syndrome","isolated cloverleaf skull syndrome"],"kind":"thing","status":"published","version":"0.2.0-wave.3","language":"en","classifiers":{"family":"Thing Registry","category":"Cross-cutting context","entryKind":"thing","plane":"XCT","domain":["XCT.STA"],"industry":[],"navPath":"","tags":[],"facets":{}},"whatItIs":"A condition in which one or more of the fibrous sutures of an infant s skull fuse prematurely, restricting skull growth perpendicular to the fused suture and producing characteristic head shapes such as scaphocephaly from sagittal fusion, trigonocephaly from metopic fusion, plagiocephaly from unilateral coronal fusion and the cloverleaf skull or Kleeblattschadel from multiple fusions, occurring alone or as part of syndromes such as Apert, Crouzon, Pfeiffer and rarer syndromes including Say-Meyer and Lin-Gettig; craniosynostosis is diagnosed by examination and imaging and treated surgically when needed to allow brain growth and correct shape.","purpose":"Let an agent explain craniosynostosis and its forms in neutral clinical terms, relay causes, diagnosis and treatment in general from craniofacial and genetics sources, describe syndromic forms, and route families to craniofacial teams and genetic counsellors.","scope":{"in":[],"out":[],"boundaries":[]},"distinguishingFeatures":["Suture fusion","Characteristic head shapes","Isolated or syndromic","Surgical management"],"structure":{"bundles":[{"id":"help","name":"Help","description":"Care first.","layers":[{"id":"signs","name":"Signs","description":"Signs.","findings":[{"id":"signs-finding","name":"Signs","description":"Signs.","questions":[{"text":"Why do an unusual head shape, a ridge along a suture or a rapidly changing head in an infant need assessment by a paediatrician or craniofacial team?","kind":"action"},{"text":"Is the user asking about a specific child, which needs clinicians?","kind":"boundary"}]}]},{"id":"support","name":"Support","description":"Support.","findings":[{"id":"support-finding","name":"Support","description":"Support.","questions":[{"text":"What craniofacial centres and family support organisations exist?","kind":"provenance"},{"text":"Which entry fits the specific organisation?","kind":"action"}]}]}]},{"id":"understand","name":"Understand","description":"The condition.","layers":[{"id":"forms","name":"Forms","description":"Forms.","findings":[{"id":"forms-finding","name":"Forms","description":"Forms.","questions":[{"text":"How do sagittal, metopic, coronal, lambdoid and multisuture synostosis produce scaphocephaly, trigonocephaly, plagiocephaly and Kleeblattschadel?","kind":"definition"},{"text":"Is the question about craniosynostosis or positional head shape differences?","kind":"boundary"}]}]},{"id":"causes","name":"Causes","description":"Causes and syndromes.","findings":[{"id":"causes-finding","name":"Causes","description":"Causes.","questions":[{"text":"What genetic and other causes underlie isolated and syndromic craniosynostosis, including Apert, Crouzon, Pfeiffer, Say-Meyer and Lin-Gettig syndromes, in general terms?","kind":"definition"},{"text":"Which entry fits the specific syndrome?","kind":"action"}]}]}]},{"id":"care","name":"Care","description":"Diagnosis and treatment.","layers":[{"id":"diagnosis","name":"Diagnosis","description":"Diagnosis.","findings":[{"id":"diagnosis-finding","name":"Diagnosis","description":"Diagnosis.","questions":[{"text":"How is craniosynostosis diagnosed by examination, imaging and genetic testing?","kind":"provenance"},{"text":"Which references are standard?","kind":"provenance"}]}]},{"id":"treatment","name":"Treatment","description":"Treatment.","findings":[{"id":"treatment-finding","name":"Treatment","description":"Treatment.","questions":[{"text":"What surgical and other treatments exist, and what are outcomes, in general terms?","kind":"provenance"},{"text":"Which sources are cited?","kind":"provenance"}]}]}]},{"id":"context","name":"Context","description":"Research and history.","layers":[{"id":"research","name":"Research","description":"Research.","findings":[{"id":"research-finding","name":"Research","description":"Research.","questions":[{"text":"What research addresses genetics, minimally invasive surgery and long-term outcomes, with findings attributed?","kind":"provenance"},{"text":"Which entry fits craniofacial genetics?","kind":"action"}]}]},{"id":"history","name":"History","description":"History.","findings":[{"id":"history-finding","name":"History","description":"History.","questions":[{"text":"How was craniosynostosis described by Virchow and others, and how did surgery develop?","kind":"provenance"},{"text":"Which entry fits the history of craniofacial surgery?","kind":"action"}]}]}]}]},"agentConduct":{"may":["Describe craniosynostosis and its types from medical sources.","Explain the difference from positional head flattening in general terms.","Direct parents to paediatric and craniofacial specialists."],"mustNot":["Give personal medical advice or reassure parents about a specific infant's head shape.","Diagnose a child from photographs.","Present surgical or helmet options as suitable for a particular child.","Share images of a child's head without parental consent."],"requiresHuman":["Any decision on referral, imaging or surgery for a child."]},"ethics":{"considerations":["Delayed referral can affect a child's development and treatment options.","Images of children with visible differences need careful consent."],"affectedParties":["Infants and children","Parents","Clinicians"]},"owners":{"steward":"The patient's family holds the decisions; clinical services hold the records.","roles":[],"masterSystems":["Clinical records of treating centres"]},"relations":[{"target":"Q2141048","type":"parent","note":"registry parent class"},{"target":"Q5182134","type":"parent","note":"registry parent class"},{"target":"Q929833","type":"parent","note":"registry parent class"},{"target":"synostosis","type":"related","note":"in registry terms"},{"target":"craniofacial disease","type":"related","note":"in registry terms"},{"target":"rare disease","type":"related","note":"in registry terms"},{"target":"craniofacial surgery","type":"related","note":"when indicated"}],"interaction":{"identity":{"applicability":"required","items":["Vercy registry: vr.tr.craniosynostosis","Wikidata: Q378183 (https://www.wikidata.org/wiki/Q378183)","ICD-11: LB70.0 craniosynostosis","MeSH: D003398 craniosynostoses","Orphanet: ORPHA:1531 craniosynostosis, related entries"]},"properties":{"applicability":"not-applicable","items":["incidence: about 1 in 2000-2500 births","most common form: sagittal synostosis type - about half of cases","typical surgery age: under 1 year - varies by type"]},"recognition":{"applicability":"optional","items":["Premature fusion of skull sutures","Scaphocephaly, trigonocephaly, plagiocephaly, Kleeblattschadel; syndromic forms such as Say-Meyer and Lin-Gettig syndromes","Positional plagiocephaly from sleeping position involves no fusion; microcephaly is small brain growth","Not a visible object; abnormal head shape in infants."]},"capabilities":{"applicability":"required","items":["explain forms and causes","relay diagnosis and treatment","describe syndromic forms","route to specialists"]},"hazards":{"applicability":"required","items":["Agents giving personal medical advice","Confusing positional plagiocephaly with synostosis","Delayed referral affecting outcomes"]},"interfaces":{"applicability":"required","items":["Craniofacial centre standards and guidelines","Genetic testing and counselling standards","Rare disease frameworks"]},"context":{"applicability":"required","items":["Not applicable; a condition.","sagittal synostosis causing scaphocephaly","metopic synostosis causing trigonocephaly","coronal synostosis causing plagiocephaly or brachycephaly","lambdoid synostosis","multisuture synostosis including Kleeblattschadel","syndromic craniosynostosis such as Apert, Crouzon, Pfeiffer, Say-Meyer and Lin-Gettig syndromes and complex syndromes with hydrocephalus or radioulnar synostosis"]}},"sources":[{"title":"Wikidata item Q378183: craniosynostosis","url":"https://www.wikidata.org/wiki/Q378183","note":"identity and sense of the item"},{"title":"Wikipedia: Craniosynostosis","url":"https://en.wikipedia.org/wiki/Craniosynostosis","note":"general description of the item"}],"openQuestions":["Should trigonocephaly and the major syndromes be separate primary entries?","How should craniofacial and genetics sources be linked?","The registry entry has merged aliases naming rare syndromes and head shapes; should they be split off?"],"resources":{"spec":"/models/things/publications/thing-q378183/spec.json"},"provenance":{"origin":"thing registry research (pass 2)","builtFrom":["models/things/publications/thing-q378183/spec.json"],"providers":["Claude"],"researchStatus":"unreviewed","generatedAt":"2026-09-13T06:04:01Z","builder":"tools/build_cards.py@1.0.0"},"completeness":{"sections":{"classifiers":"filled","whatItIs":"filled","purpose":"filled","distinguishingFeatures":"filled","structure":"filled","agentConduct":"filled","ethics":"filled","owners":"filled","relations":"filled","interaction.identity":"filled","interaction.properties":"not-applicable","interaction.recognition":"filled","interaction.capabilities":"filled","interaction.hazards":"filled","interaction.interfaces":"filled","interaction.context":"filled","sources":"filled"},"notes":{"_gate":"Published through the thing publication gate 1.0 on 2026-10-06T19:51:59+00:00: completeness 1.00; sense: Wikidata description; 2 live sources; review by codex: pass","interaction.properties":"Plane XCT: no invented physical properties."},"score":1.0}}