{"id":11875,"date":"2016-06-09T07:10:54","date_gmt":"2016-06-09T06:10:54","guid":{"rendered":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/deformidades-craneales\/"},"modified":"2019-01-26T12:51:18","modified_gmt":"2019-01-26T11:51:18","slug":"cranial-deformities","status":"publish","type":"page","link":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/","title":{"rendered":"Cranial deformities"},"content":{"rendered":"<p>Cranial deformities are a common reason for consultations during the first few months of life. The causes are varied and may be related to mechanical, intrauterine, intrapartum or postural factors secondary to the supine decubitus (face up) position usually recommended for nursing infants to reduce the risk of cot death. However, in certain cases, the cranial deformity has an organic cause and is due to early closure of the cranial sutures. In these cases the term is craniosynostosis.<\/p>\n<p><strong> Craniosynostosis<\/strong> prevents normal growth of the cranium and produce a deformity that becomes more evident with growth. The implications are basically aesthetic although, in some cases, there may be a functional repercussion. For this reason a paediatric neurosurgeon should evaluate the cranial deformity, establish the protocol for diagnosis imaging considered most convenient and explain the most suitable therapeutic possibilities for each case.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignright wp-image-10863\" src=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Deformidad-craneal-300x300.jpg\" alt=\"Deformidad-craneal\" width=\"350\" height=\"350\" srcset=\"https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Deformidad-craneal-300x300.jpg 300w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Deformidad-craneal-150x150.jpg 150w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Deformidad-craneal-275x275.jpg 275w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Deformidad-craneal.jpg 512w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/p>\n<p>It is important to note that not all cranial deformities are candidates for surgical treatment but whenever this is the case, the treatment should be performed at a specific moment of development to reduce risks and favour results. This means it is extremely important to make an early diagnosis. What we should know about cranial deformities:<\/p>\n<ul>\n<li>The majority of cranial deformities <strong>present at birth <\/strong>are associated with intrauterine conditions (multiple pregnancies) or intrapartum shaping (forceps, suction cup) and improve spontaneously during the first 6 weeks of life.<\/li>\n<li>Cranial deformities that develop <strong>postnatally <\/strong>are mainly related to <strong>congenital torticollis <\/strong>or with the <strong>supine position during sleep. <\/strong>The recommendation of the American Academy of Pediatrics (AAP) in 1992, regarding placing infants in the supine position when sleeping \u201cBack to Sleep\u201d, or the measures for prevention of the sudden infant death syndrome (SIDS), have favoured the appearance of cranial deformities. The invariable supine position with the head turned the same side since birth causes plagiocephaly and always face upward causes brachycephaly.<\/li>\n<li><strong>Posterior positional plagiocephaly <\/strong>is defined as a deformity consisting of uni or bilateral occipital flattening, with of the Ipsilateral frontal bossing, sometimes the cranium is not closed and larger in size, and contralateral occipital bulging. There are cases with a frontal bulge, protrusion of the cheek bone and deviation of the ipsilateral lower jaw. Treatment is postural and only severe cases may require a cranial orthosis (helmet).<\/li>\n<\/ul>\n<ul>\n<li><strong>Craniosynostosis <\/strong>consists of early closure of certain sutures. Depending on the suture, this may produce different types of deformities:\n<ul>\n<li><strong>Scaphocephaly:<\/strong> elongated head with frontal and occipital protrusion<\/li>\n<li><strong>Plagiocephaly<\/strong>: asymmetric deformity involving facial scoliosis and contralateral bulging of the forehead<\/li>\n<li><strong>Brachycephaly<\/strong>: cranium with a smaller antero-posterior diameter. Associated with microcephaly and may cause problems with psychomotor development<\/li>\n<li><strong>Trigonocephaly<\/strong>: triangular forehead with a bony crest in the Center<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>In the majority of cases these deformities require early surgical correction. The paediatric neurosurgeon should assess each particular case and indicate the most appropriate technique for each patient as well as best moment for applying treatment. In the majority of the cases surgery will consist of reopening the closed suture associated with different surgical techniques that enable remodelling cranial morphology.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cranial deformities are a common reason for consultations during the first few months of life. The causes are varied and may be related to mechanical, intrauterine, intrapartum or postural factors secondary to the supine decubitus (face up) position usually recommended for nursing infants to reduce the risk of cot death. However, in certain cases, the &#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":11841,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.11 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cranial deformities - Neurocirug\u00eda Barcelona<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cranial deformities - Neurocirug\u00eda Barcelona\" \/>\n<meta property=\"og:description\" content=\"Cranial deformities are a common reason for consultations during the first few months of life. The causes are varied and may be related to mechanical, intrauterine, intrapartum or postural factors secondary to the supine decubitus (face up) position usually recommended for nursing infants to reduce the risk of cot death. However, in certain cases, the ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/\" \/>\n<meta property=\"og:site_name\" content=\"Neurocirug\u00eda Barcelona\" \/>\n<meta property=\"article:modified_time\" content=\"2019-01-26T11:51:18+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Deformidad-craneal-300x300.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/\",\"url\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/\",\"name\":\"Cranial deformities - Neurocirug\u00eda Barcelona\",\"isPartOf\":{\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/#website\"},\"datePublished\":\"2016-06-09T06:10:54+00:00\",\"dateModified\":\"2019-01-26T11:51:18+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pathologies\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Paediatric neurosurgery\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Cranial deformities\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/#website\",\"url\":\"https:\/\/www.neurocirugiabarcelona.com\/\",\"name\":\"Neurocirug\u00eda Barcelona\",\"description\":\"Tratamiento integral de las patolog\u00edas neuroquir\u00fargicas mediante una visi\u00f3n multidisciplinar\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.neurocirugiabarcelona.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Cranial deformities - Neurocirug\u00eda Barcelona","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/","og_locale":"en_US","og_type":"article","og_title":"Cranial deformities - Neurocirug\u00eda Barcelona","og_description":"Cranial deformities are a common reason for consultations during the first few months of life. The causes are varied and may be related to mechanical, intrauterine, intrapartum or postural factors secondary to the supine decubitus (face up) position usually recommended for nursing infants to reduce the risk of cot death. However, in certain cases, the ...","og_url":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/","og_site_name":"Neurocirug\u00eda Barcelona","article_modified_time":"2019-01-26T11:51:18+00:00","og_image":[{"url":"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Deformidad-craneal-300x300.jpg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/","url":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/","name":"Cranial deformities - Neurocirug\u00eda Barcelona","isPartOf":{"@id":"https:\/\/www.neurocirugiabarcelona.com\/#website"},"datePublished":"2016-06-09T06:10:54+00:00","dateModified":"2019-01-26T11:51:18+00:00","breadcrumb":{"@id":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/cranial-deformities\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/www.neurocirugiabarcelona.com\/en\/"},{"@type":"ListItem","position":2,"name":"Pathologies","item":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/"},{"@type":"ListItem","position":3,"name":"Paediatric neurosurgery","item":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/"},{"@type":"ListItem","position":4,"name":"Cranial deformities"}]},{"@type":"WebSite","@id":"https:\/\/www.neurocirugiabarcelona.com\/#website","url":"https:\/\/www.neurocirugiabarcelona.com\/","name":"Neurocirug\u00eda Barcelona","description":"Tratamiento integral de las patolog\u00edas neuroquir\u00fargicas mediante una visi\u00f3n multidisciplinar","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.neurocirugiabarcelona.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages\/11875"}],"collection":[{"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/comments?post=11875"}],"version-history":[{"count":2,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages\/11875\/revisions"}],"predecessor-version":[{"id":11877,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages\/11875\/revisions\/11877"}],"up":[{"embeddable":true,"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/pages\/11841"}],"wp:attachment":[{"href":"https:\/\/www.neurocirugiabarcelona.com\/en\/wp-json\/wp\/v2\/media?parent=11875"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}