Understanding Craniosynostosis

A Guide to Early Skull Development Conditions

Pediatrics

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Last updated: Mar 24, 2025

What is Craniosynostosis?

Craniosynostosis is a birth condition where one or more of the fibrous joints (sutures) between the bones of a baby's skull close prematurely, before the brain has fully formed. This causes the skull to grow in an unusual shape.

Types of Craniosynostosis

  • Sagittal synostosis (most common)
    • Causes long, narrow head shape
    • Affects the suture on top of the head
  • Coronal synostosis
    • Results in flattened forehead on affected side
    • Can be unilateral or bilateral
  • Metopic synostosis
    • Creates triangular-shaped forehead
    • Affects the suture in the front of the skull
  • Lambdoid synostosis
    • Causes flattening in the back of the head
    • Rarest form

Signs and Symptoms

  • Unusual head shape
  • Hard ridges along affected sutures
  • Slow or absent soft spot closure
  • Abnormal facial features
  • Possible developmental delays

Diagnosis

  1. Physical examination
  2. Imaging tests:
    • CT scans
    • X-rays
    • 3D imaging

Treatment Options

Surgical Intervention

  • Traditional open surgery
  • Minimally invasive endoscopic procedures
  • Usually performed before 12 months of age

Post-Surgical Care

  • Helmet therapy
  • Regular follow-up appointments
  • Monitoring of development

Long-term Outlook

  • Excellent prognosis with early treatment
  • Regular monitoring through childhood
  • Possible need for additional procedures

When to Seek Medical Care

  • Unusual head shape in infancy
  • Concerns about skull development
  • Missing developmental milestones

Prevention and Risk Factors

While not preventable, risk factors include:

  • Genetic conditions
  • Family history
  • Maternal medication use during pregnancy
  • Certain metabolic disorders

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