The evaluation and management of infants with potentially misshapen heads presents many challenges. Diagnostic dilemmas for the pediatric primary care provider can be significant. Is a particular infant’s head shape normal or abnormal? How does one define geometric and anthropomorphic features? Does the head circumference measurement bear any significance? Should skull radiographs be obtained? What about computed tomography scans? To whom should this infant be referred: a neurosurgeon, plastic surgeon, physical therapist, or geneticist? And, perhaps most difficult, what does one tell the parents?

Pediatric subspecialists caring for these patients must be dedicated to a comprehensive and compassionate multidisciplinary approach. Primary objectives include the early and thorough evaluation of the suspected cranial abnormality and its optimal management, resulting in the greatest patient benefit at the lowest risk. Establishing an effective line of communication among family and health care team members is imperative. A rewarding part of our jobs as care...

You do not currently have access to this content.