Ask the expert

tada

Fontanel surgery (Craniosynostosis)


Question

Is premature fusion of the fontanel common in CdLS? What is the recommended treatment?

Answer of our experts

The entity is called craniosynostosis, or premature fusion of the sutures. Normally, the skull is made up of several separate bones that eventually fuse together at the suture sites, but in the meantime allowing the brain to grow. The fontanel is the center point for these sutures and normally closes by 18 months. Premature fusion of the sutures will lead to abnormal head shape and growth and can limit the brain's growth. There are a number of causes of this. One cause is poor brain growth itself can lead to early fusion (microcephaly). Other causes include specific syndromes and abnormal positioning of the head in the uterus. The standard treatment is surgical release and usually this is needed for cosmetic reasons as well as allowing the brain to grow. I have noted a few patients with CdLS who reported craniosynostosis repairs but it is not a common malformation. Sometimes you can wait and see if the fusion will progress, but usually if the surgery is recommended by a pediatric neurosurgeon, it is needed. A parent could get a second opinion if very concerned. I believe it's a relatively safe surgery. TK 7-13-10

Answer is checked and valid for
us
Find other pages that share the same topic as this page Autonomic nervous system Paediatric Medical Care

Recommendation(s)

Autonomic nervous system

R47
Seizures in individuals with CdLS should be treated using the general management schemes.
R48
An MRI of the brain should be considered only if the individual with CdLS shows neurological signs other than microcephaly (smaller than normal head).

Recommendation(s)

Paediatric Medical Care

R47
Seizures in individuals with CdLS should be treated using the general management schemes.
R48
An MRI of the brain should be considered only if the individual with CdLS shows neurological signs other than microcephaly (smaller than normal head).

Legal Disclaimer

Please take note that the Ask the Expert service is comprised of volunteer professionals in various areas of focus. Answers are not considered a medical, behavioral, or educational consultation. Ask the Expert is not a substitute for the care and attention your child’s personal physician, psychologist, educational consultant, or social worker can deliver.

Do you have a question you would like to ask?

Ask a Question
Do You need help **urgently**? [[Contact the CdLS Foundation USA, Contact Us>>WaihonaPartners.USA.emergencyContact]]!