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Neurodevelopmental delay according to severity of deformational plagiocephaly in children
1Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, South Korea.
Insights
Deformational plagiocephaly (DP) in children is linked to neurodevelopmental delays. Infants with cranial vault asymmetry (CVA) over 10mm showed a significantly higher frequency of developmental delays, indicating a need for clinical attention.
Area of Science:
- Pediatric Medicine
- Developmental Pediatrics
- Neurology
Background:
- Deformational plagiocephaly (DP) is a common condition in infants characterized by abnormal head shape.
- The potential link between DP and neurodevelopmental outcomes requires further investigation.
Purpose of the Study:
- To determine the prevalence of neurodevelopmental delay in children with DP.
- To establish a relationship between the severity of DP and the occurrence of neurodevelopmental delay.
Main Methods:
- A retrospective study analyzed 513 children with DP.
- The Denver Development Screening Test (DDST) was administered to 38 children suspected of developmental delay.
- Cranial vault asymmetry (CVA) was measured, and children were grouped based on CVA severity (under vs. over 10mm).
Main Results:
- A significant difference in neurodevelopmental delay was observed between the two CVA groups (P < .05).
- Children with CVA over 10mm exhibited a higher frequency of developmental delays.
- Mean DP grade, CVA, and CVAI were significantly greater in the group with CVA over 10mm.
Conclusions:
- The frequency of developmental delay is significantly increased in children with DP and CVA exceeding 10mm.
- Clinicians managing infants with DP should be vigilant for potential developmental delays, especially in cases with significant asymmetry.
Abstract:
The purpose of this study was to investigate the prevalence of neurodevelopmental delay among deformational plagiocephaly (DP) children, and to confirm relationship between neurodevelopmental delay and severity of DP.This study is retrospective study. Five hundred thirteen children who visited for abnormal head shape through outpatient department were recruited. To identify the children with neurodevelopmental delay among the 513 children with DP, Denver Development Screening Test (DDST) was performed in 38 children who suspected of neurodevelopmental delay. Cranial vault asymmetry (CVA) was measured by using caliper, and cranial vault asymmetry index (CVAI) was calculated. Thirty eight children with DP who conducted DDST were divided into 2 groups according to the degree of CVA; group 1 included 21 children with CVA under 10 mm, and group 2 included 17 children with CVA over 10 mm.There was a significant difference in number of neurodevelopmental delay between group 1 (n = 7) and group 2 (n = 14) (P < .05). Mean grade of DP, CVA, and CVAI (1.76 ± 0.44, 5.90 ± 2.21 mm, 4.20 ± 1.51%) in group 1 was smaller than that in group 2 (3.41 ± 0.8, 12.71 ± 3.22 mm, 8.83 ± 2.18%), respectively (P < .05).Our results found that the frequency of developmental delay was significantly increased in children with CVA more than 10 mm. Doctors who take care of children with DP had better keep developmental delays in mild.
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