Evidence Hub

A Lifelong Battle With Crouzon Syndrome: A Detailed Case Report of Extensive Craniofacial Surgeries and Complex Psychiatric Care

Gillela ST, Jaiswal P, Hollowell S, Nepal M, Leontieva L

Cureus, 2025

Abstract

Crouzon syndrome (CS) is a rare genetic disorder characterized by the premature fusion of cranial sutures, leading to distinctive facial features and potential neurological complications. Individuals with craniofacial syndromes often face psychosocial challenges that may increase their vulnerability to mental health issues. This case report details a 55-year-old woman with CS who endured multiple complex surgeries, including brain surgery and Le Fort III advancement osteotomy, during her early years. Having experienced neglect by her biological parents and abuse within her foster care environment, these traumatic experiences likely contributed to her heightened risk for mental health issues. She was later diagnosed with post-traumatic stress disorder and borderline personality disorder and had a history of substance abuse. Despite the prevalence of such psychiatric comorbidities, the intersection between CS and mental health disorders is rarely examined in the literature. This case emphasizes the need for more research and highlights the importance of an integrated care approach to address medical and psychiatric complexities in patients with CS.

How strong is the evidence?

Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free