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Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model

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Behavioral, developmental, and educational problems in children with nonsyndromic trigonocephaly.

Michael O Kelleher¹, Dylan J Murray, Anne McGillivary

¹Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland. mokelleher@eircom.net

Journal of Neurosurgery

|March 3, 2007

Summary

Nonsyndromic trigonocephaly often leads to developmental, educational, and behavioral issues in children. The severity of trigonocephaly does not influence the frequency of these neurobehavioral problems.

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Area of Science:

Pediatric Neurology
Developmental Psychology
Craniofacial Surgery

Background:

Nonsyndromic trigonocephaly's impact on neurodevelopment is not fully understood.
Assessing developmental, educational, and behavioral outcomes is crucial for affected children.

Purpose of the Study:

To evaluate developmental, educational, and behavioral problems in children with nonsyndromic trigonocephaly.
To determine if milder forms of trigonocephaly correlate with fewer neurobehavioral issues.

Main Methods:

Observational study of 63 children with trigonocephaly (1989-2004).
Parental follow-up questionnaires assessed developmental, educational, and behavioral outcomes.
Comparison between conservatively treated mild cases and surgically treated cases.

Main Results:

Speech/language delay in 34%; 33% required school psychologist assessment.
47% received school support; 20% needed assistants for behavioral issues.
37% of parents reported behavioral concerns; no significant difference based on severity or treatment.

Conclusions:

Nonsyndromic trigonocephaly is linked to a high incidence of neurobehavioral challenges.
The degree of trigonocephaly severity does not predict the frequency of these problems.