From 1977 to 1996, 210 patients suffering from scaphocephaly, have been operated on in our institutions. The surgical technique depended on the patients age. Single wide sagittal synostectomy was performed in 155 babies aged less than 3 months, obtaining good cosmetic results. Patients older than 3 months needed more complex and aggressive procedures to achieve similar results. The conclusions is that sagittal suturectomy is the proper treatment in younger patients under 3 months of age, and that a greater effort must be made to diagnose and treat these patients early.

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✓ A hypothalamic hamartoma was found in an 18-month-old boy who presented with mild precocious puberty. Following partial removal of the tumor, there was prompt improvement in clinical signs and plasma endocrine levels. Two years after surgery the patient was completely normal. The pathological examination of the excised tumor showed normal glial tissue.

In this study, the authors present a rare case of posterior fossa clear cell meningioma without dural attachment in a child with severe brainstem and cervical spinal cord displacement and discuss the clinical and radiological features as well as treatment considerations.