Swift assessment and referrals are critical in this presentation, as surgical correction is usually performed at just 6 to 12 weeks of age. The appearance of this malformation is an elongated head shape with a parietal narrowing. The most common form of craniosynostosis covered in the guide is sagittal synostosis, which makes up about 40% to 45% of cases. The report offers detailed assessments of multiple head abnormalities. Research is unclear whether early intervention of craniosynostosis can improve outcomes, however, because there is some evidence that there is a genetic component to these malformations also that is associated with further neurodevelopmental problems. Increased ICP is associated with both developmental and cognitive deficits, so early recognition and treatment are key. According to the report, between 4% and 42% of children with single-suture craniosynostosis, and 50% to 68% of children with multisutural involvement displayed elevated intracranial pressure (ICP). Aside from the obvious abnormal head shapes these children have, the study also highlights other potential fallout from these problems. Issued as new guidance on identifying and managing these abnormalities, the report reviewed the characteristics of these head shapes, identifying features, secondary issues, and other considerations, as well as information on treatment and management. “Our whole focus in presenting this manuscript, as it was with the preceding manuscript on visual identification and classification of congenital brain and spinal cord malformations, was to provide pediatricians with a visual 'atlas', if you will, of the types of abnormalities in the hopes of improving early diagnosis and referral,” Dias says.Ībnormal head shapes can occur from both synostotic-the fusion of 2 bones-or deformational processes. Early referrals to experienced craniofacial teams is key, he adds. Hershey Medical Center in Hershey, Pennsylvania, and lead author of the report, says the goal of the guidelines was to increase understanding among pediatricians about the various head shape abnormalities caused by synostosis and deformation. Dias, MD, FAAP, FAANS, a pediatric neurosurgeon at Penn State Health’s Milton S. The report 1 was published in Pediatrics and reviewed the guidelines from the Congress of Neurological Surgeons. Experts in craniofacial problems have put together new guidelines to help understand the differences in these abnormalities and how to address them. There are a number of abnormalities in head shape that a pediatrician might see in infants.
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