Skull Problems in Children

Question 1

What is plagiocephaly and how do you treat it?

Answer 1

• Parallelogram shaped head - occipital flattening.
• Increased due to back to sleep campaign.
• Treatment
  
  • The vast majority improve by 3-5 years of age (upright posture)
  • Helmets are not usually needed - RCTs show no significant outcome difference.
  • Baby time on tummy.
  • Turning cot & toys around.
  • Supervised supported sitting during the day.

Question 2

What is Craniosynostosis?

Answer 2

Premature fusion of the skull bones.

Can cause rasied ICP so look for papilloedema.

CT is gold standard for diagnosing carniosyntosis BUT refer to paeds if suspected.