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[How I explore... macrocephaly].

L Vanden Brande1, S Alkan1, C Barrea1

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Summary
This summary is machine-generated.

Macrocephaly, an enlarged head in children, can be isolated or indicate serious conditions. Diagnosis involves clinical history, examination, and imaging, with genetics aiding in syndromic cases.

Keywords:
HydrocephalyMegalencephalyPaediatricMacrocephaly

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Area of Science:

  • Pediatric Neurology
  • Clinical Genetics

Background:

  • Macrocephaly is a common, non-specific neurological sign in pediatric consultations.
  • It can range from isolated findings to indicators of serious acquired pathologies or syndromic conditions.

Framework:

  • Clinical assessment forms the cornerstone of the diagnostic strategy for macrocephaly.
  • Urgent neuroimaging is indicated when signs of increased intracranial pressure are present.
  • Genetic testing, particularly exome sequencing, is increasingly vital for identifying syndromic causes of macrocephaly associated with neurodevelopmental delay.

Implementation:

  • This article provides an updated clinical practice guideline for evaluating pediatric macrocephaly.
  • Emphasis is placed on integrating clinical signs into the diagnostic pathway.
  • The role of advanced genetic techniques in characterizing complex syndromes is highlighted.

Implications:

  • Accurate and timely diagnosis of macrocephaly improves patient outcomes.
  • Understanding the etiological spectrum of macrocephaly aids in targeted management and genetic counseling.
  • This updated approach facilitates the identification of treatable conditions and associated neurodevelopmental concerns.