What is craniosynostosis?

Craniosynostosis is a birth defect in which the bones in a baby’s skull join together too early.

It occurs in 1 in every 2500 live births.


Clinical presentation:

It can lead to skull and facial deformity. Secondly, it causes intracranial hypertension(15% incidence). Also, it can result in neurodevelopmental delay(37% incidence) in children.



1. Clinical examination: Early clinical examination by a pediatrician is very important in an infant. He can raise a suspicion by examination of

  • Skull shape
  • Sutural ridging
  • Size, shape, and tension of the fontanelles
  • Face and hand abnormalities
  • Cephalic index (the ratio of maximum breadth to maximum length of the skull).

2. CT with 3D reconstruction- the primary imaging technique.

3. MRI is reserved for patients in which CT reveals cerebral anomalies.


Surgical options :

  1. Open
  2. Endoscopic


When to operate?

  • the earlier the operation the better
  • best time is between 3 and 12 months of age
  • for endoscopic repair- early intervention within the first 3 months of life along with helmet therapy.


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