Crouzon syndrome (CS) is one of the craniosynostosis syndromes that leads to early fusion of cranial sutures and increased intracranial pressure. Intracranial hypertension is a serious complication that may lead to vision loss and cognitive impairment. Early detection and management are necessary to prevent complications. The authors present a patient with CS who underwent posterior cranial vault reconstruction with internal distraction after multiple episodes of headache and papilledema. The patient was unaware of any loss of color vision before the surgery; however, he noted an improvement in his color vision after the surgery. Color vision deficits may be an early sign of intracranial hypertension and finding these deficits using noninvasive testing methods may be an indication for early intervention. Address correspondence and reprint requests to Arlen D. Denny, MD, Department of Plastic Surgery, Children's Hospital of Wisconsin, PO Box 1997, Suite C340, Milwaukee, WI 53201-1997; E-mail: adenny@chw.org; Kristen A. Klement, MD, Medical College of Wisconsin, Hartland, WI; E-mail: kklement@mcw.edu Received 30 April, 2017 Accepted 11 November, 2017 This work was supported by resources of the Department of Plastic Surgery, Medical College of Wisconsin. The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.
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