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Craniosynostosis

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Neurosurgery

Abstract

Craniosynostosis is the premature fusion of cranial sutures leading to an abnormal skull shape. Abnormal skull shapes were described by Hippocrates and Galen. Virchow [126], however, was the first to relate the abnormal skull shape to the premature fusion of cranial sutures. The extent of morphological and functional problems varies with the amount of sutures affected and is most pronounced in syndromic cases. Single-suture craniosynostosis is generally considered a purely cosmetic problem. However, increasing attention has been drawn to the occurrence of functional problems in single-suture synostosis. Raised intracranial pressure (ICP) is reported in up to 33% of patients [123, 105, 122]. Cognitive dysfunction, particularly affecting speech and learning abilities, is found to various degrees in all types of single-suture synostosis (Table 7.2.4). Problems with self-esteem occur in up to 10% [9].

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van Veelen-Vincent, M., Mathijssen, I., Arnaud, E., Renier, D., Di Rocco, F. (2010). Craniosynostosis. In: Lumenta, C., Di Rocco, C., Haase, J., Mooij, J. (eds) Neurosurgery. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79565-0_29

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