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October 1970

Suture Diastasis Following Rapid Weight Gain: Pseudopseudotumor Cerebri

Arch Neurol. 1970;23(4):314-318. doi:10.1001/archneur.1970.00480280028003

IN THE past, suture diastasis has been interpreted as a sign of acute raised intracranial pressure in children under the age of 10.1 However, Capitanio and Kirkpatrick2 have described three children suffering from deprivation dwarfism who developed spread of several cranial sutures following the correction of their malnutrition. The description of four additional patients, including the youngest in whom this phenomenon has been observed, and the one with the most rapid development of the roentgen changes, is the subject of this report.

Report of Cases  CASE 1.—A 3-year-old Mexican-American boy was admitted for failure to thrive. A product of a normal pregnancy, the infant was delivered by cesarean section. Birth weight was 3,260 gm (7 lb 3 oz). At 1 year, his weight was 8,165 gm (18 lb) and his developmental milestones were normal. During his second year of life, he developed pneumonia, for