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  Craniosynostosis

Frequently Asked Questions

Is there an age limit for endoscopic surgery of craniosynostosis?

The best results of the endoscopic technique are achieved in children, who are operated early, i.e. at about three months of age, at eight months of age at the latest. The performance of endoscopic surgery at later age is also possible, however requires individual assessment and indication by a neurosurgeon.

At what age is it possible to perform examination due to suspected craniosynostosis?

Craniosynostosis becomes clinically manifested already during the first weeks after birth. That is why it is recommended to perform the examination as soon as possible, ideally at the age of 6-8 weeks. At that time, in case the craniosynostosis is confirmed, the parents may choose between endoscopic and classical surgery techniques.

Is computer tomography (CT) examination of the child required prior to surgical repair of craniosynostosis?

Generally speaking, we try not to perform CT examination of the brain in small children, due to the high radiation load associated with the procedure. To confirm or rule out craniosynostosis in most children it is sufficient to perform clinical and craniometric examination with an optic scanner; this procedure does not present any radiation load for the child. However, cases with unclear findings or craniosynostoses associated with other developmental disorders always require some kind of radiology examination.

Do I need a physician's referral for examination at neurosurgery outpatient department?

Referral of the paediatrician or another physician for scheduling the examination of a child with an abnormality of the skull is recommended, however is not absolutely necessary.

Is there a possibility of treatment with the special helmet also in cases when craniosynostosis is not confirmed?

Treatment with the special helmet is possible even in cases when the condition of craniosynostosis is not confirmed, and is used to adjust shape abnormalities of the child's head resulting from positioning. These children do not require surgical treatment and the therapy is provided with cranial orthosis only.