Fragen an den Experten

tada

Fontanel surgery (Craniosynostosis)


Frage

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

Antwort unserer Experten

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

Antwort ist geprüft und gültig für
us

Empfehlung(en)

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).

Empfehlung(en)

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).

Rechtlicher Haftungsausschluss

Bitte beachten Sie, dass der Fragen an den Experten Service aus freiwilligen Fachleuten verschiedener Fachgebiete besteht. Die Antworten sind nicht als medizinische, verhaltensbezogene oder pädagogische Beratung zu verstehen. Fragen an den Experten ist kein Ersatz für die Betreuung durch den persönlichen Arzt, Psychologen, Erziehungsberater oder Sozialarbeiter Ihres Kindes.

Haben Sie eine Frage, die Sie gerne stellen möchten?

Eine Frage stellen

Brauchen Sie dringend Hilfe? [Kontaktieren Sie den Institut für Humangenetik, Universität Duisburg-Essen, Universitätsklinikum Essen>>Doc:WaihonaPartners.deDuisburgEssen.WebHome]]!