How is pediatric craniosynostosis treated?

Updated: Dec 04, 2018
  • Author: Raj D Sheth, MD; Chief Editor: George I Jallo, MD  more...
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Answer

In the past 30 years, a better understanding of the pathophysiology and management of craniosynostosis has developed. Currently, surgery is usually for cranial deformity correction for infants with fusion of 1-2 sutures that results in a misshapen head. For infants with microcephaly (ie, secondary craniosynostosis), surgery usually is not required.

  • In patients with microcephaly, investigate the cause of microcephaly.

  • Measure head circumference longitudinally and monitor development. Ensure normal brain growth in patients with primary craniosynostosis.

  • Carefully monitor signs and symptoms of elevated intracranial pressure.

    • Examine the fundi and alert parents to report persistent vomiting or lethargy promptly.

    • Should elevated intracranial pressure be suspected, an emergent neurosurgical consult would be appropriate.

  • To preserve visual function in patients with elevated intracranial pressure, an emergent ophthalmological consult would be appropriate.

  • Address the appearance of the skull abnormality.


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