Pitfalls for the pediatrician: positional molding or craniosynostosis?
Ricardo J Komotar1, Brad E Zacharia, Jason A Ellis
1Department of Neurological Surgery, Division of Pediatric Neurosurgery, Columbia University, New York, NY 10032, USA.
Insights
Abnormal infant head shape is common. Early intervention and a specialized team approach are crucial for proper development and preventing complications like increased intracranial pressure.
Area of Science:
- Pediatric medicine
- Neurosurgery
- Developmental pediatrics
Background:
- Abnormal head morphology is a frequent concern for parents seeking pediatric guidance.
- While many cases resolve naturally, some indicate underlying issues requiring medical attention.
Purpose of the Study:
- To highlight the importance of evaluating abnormal infant head morphology.
- To emphasize the need for timely intervention to prevent neurodevelopmental sequelae.
Main Methods:
- Review of clinical presentations of abnormal head morphology in infants.
- Discussion of diagnostic approaches and management strategies.
- Emphasis on the role of multidisciplinary teams.
Main Results:
- The majority of infants with abnormal head shape do not experience adverse outcomes.
- Early identification and management are key for cases with potential for increased intracranial pressure or impaired brain growth.
Conclusions:
- Prompt evaluation of abnormal head morphology is essential for all infants.
- A coordinated, multidisciplinary approach at experienced centers optimizes outcomes for craniosynostosis management.
Abstract:
Abnormal head morphology is common among infants and often leads parents to ask their pediatricians for guidance. While the vast majority of such children development and prevent adverse neurobehavioral sequelae secondary to increased intracranial pressure or impaired cerebral growth. The coordination of a multidisciplinary team in the setting of a center experienced in the management of craniosynostosis will assure the best possible results for each patient.
Related Concept Videos
Cranial Bones: Superior and Posterior View
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
Cranial Bones: Lateral View
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
Neurulation
Anatomical Positions
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...


