Auditory ERPs Reveal Brain Dysfunction in Infants With Plagiocephaly

Balan, Polina; Kushnerenko, Elena; Sahlin, Pelle; Huotilainen, Minna; Näätänen, Risto; Hukki, Jyri

doi:10.1097/00001665-200207000-00008

Cited by 76 publications

(54 citation statements)

References 18 publications

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“…Currently, however, consensus appears to favour the concept that these children are, in fact, at an increased risk for the development of neurocognitive deficits (2,3,9,10). Studies involving functional testing measures, such as positron emission tomography scans (11) and auditory event-related potentials (12), support this contention by demonstrating measurable brain activity changes in children diagnosed with SSC. Other studies attempting to quantify and characterize these neurocognitive deficits have noted the following areas of concern for some children with SSC: speech and language (4,13); motor development (5,14); and attention, planning, processing speed and visual spatial skills (15).…”

Section: Discussionmentioning

confidence: 93%

Analysis of individualized education programs to quantify long-term educational needs following surgical intervention for single-suture craniosynostosis

Doshier¹,

Muzaffar²,

Deidrick³

et al. 2015

CAN J PLAST SURG

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S ingle-suture craniosynostosis (SSC) is a common craniofacial condition with potential neurocognitive sequelae. Because patients usually present in infancy and surgical correction is typically performed by one year of age, most of the research in this area has focused on neurodevelopment in preschool-age children (1-6). There is a relative paucity of data regarding the performance of these children in later school years. Such information would be valuable in anticipating potential educational difficulties in this population and in implementing the appropriate educational resources. Analyzing individualized education programs (IEPs) is one way to track what special education services these students are requiring because each IEP is "a written, legal document that describes all of the special education and related services that an eligible [United State's] student receives" (7). We hypothesized that elementary and secondary school-age children with a history of SSC require special education services as indicated by the need for IEPs in higher proportion than the general United States student population, despite having previously undergone surgical treatment. Another aim of the present study was to describe which specific educational areas were targeted most frequently by the educational goals defined in the IEPs of these children. METHODSAfter obtaining approval from the University Health Sciences Institutional Review Board, the Division of Plastic Surgery's Craniofacial patient database was reviewed from May 1992 through December 2011. A total of 283 patients met the study inclusion criteria at the time of study commencement: school-age (≥5 years of age), previous diagnosis of SSC and history of surgical intervention for craniosynostosis at the University Hospital. The patients' legal guardians were contacted by telephone and read a standardized script asking for their verbal consent to be mailed the standardized study questionnaire. The process of obtaining a waiver of documentation of consent had been completed through the university institutional review board. The study questionnaire asked the legal guardian about demographic BACKgROUND: Single-suture craniosynostosis (SSC) is a common craniofacial condition with potential neurocognitive sequelae. OBJECTIVE: To quantify any long-term functional academic and behavioural difficulties of children with SSC as indicated by the need for individualized education programs (IEPs), despite having undergone surgical treatment. METHODS:Records of all school-age patients from 1992 to 2011 who underwent operative intervention for SSC were identified. Fifty-nine patients' guardians were contacted by telephone to provide informed consent for completion of a mailed standardized questionnaire querying demographic information as well as information regarding the patient's health, family and educational history; specifically whether the patient had ever been provided educational support as delineated in an IEP. The primary outcome measure was the history of the patient being ass...

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Section: Discussionmentioning

confidence: 93%

Analysis of individualized education programs to quantify long-term educational needs following surgical intervention for single-suture craniosynostosis

Doshier¹,

Muzaffar²,

Deidrick³

et al. 2015

CAN J PLAST SURG

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“…These measures have not previously been demonstrated in normal term infants at home, although one study has shown the protective effect of a regimen of varied sleeping positions, including prone, in preventing dolichocephaly in premature infants in a hospital setting. 38 Although no objective measure of developmental 15,23,30,[33][34][35] likely delays are a contributory factor in the development of head shape asymmetry. It has been shown that supine sleepers achieve certain milestones later than prone sleepers, although they catch up by 18 months, 18,36 and it is possible that the reported developmental delays were related to this trend.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Nonsynostotic Plagiocephaly: A Case-Control Study

2003

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ABSTRACT.Objective. There has been a large increase in reported cases of nonsynostotic plagiocephaly in infants since the adoption of supine sleeping recommendations to prevent sudden infant death syndrome. The objective of this study was to identify and quantify the determinants of nonsynostotic plagiocephaly in infants.Methods. One hundred infants who received a diagnosis of having nonsynostotic plagiocephaly were recruited as case patients and compared with 94 control subjects who were selected from a citywide database of infants. The infants all were aged between 2 and 12 months. Information concerning sociodemographic variables, obstetric factors, infant factors, and infant care practices was obtained by parental interview.Results. Case patients were significantly more likely to be male (adjusted odds ratio [ ABBREVIATIONS. SIDS, sudden infant death syndrome; NSP, nonsynostotic plagiocephaly; OR, odds ratio; SE, standard error; CI, confidence interval; aOR, adjusted odds ratio.

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“…10,21,28,30,63 Multiple reports over the past decade have pointed to links between PP and abnormal ophthalmological findings, auditory processing, and motor development. 4,10,25,27,28,35,44,47,62,63,68 Two case-controlled studies, by Speltz et al 63 and Fowler et al, 21 found significant variability in gross motor development and body tone. However, almost none of these studies account for sleep position and many have problems with their design, suggesting that there are probably other factors at play.…”

Section: Established Risk Factorsmentioning

confidence: 99%

Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines

Shweikeh

Nuño

Danielpour

et al. 2013

FOC

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Object Positional plagiocephaly (PP) has been on the rise in recent years. In this review, the authors' aim was to assess the effectiveness of current recommendations to parents on this exceedingly common problem through a comprehensive literature search. Additionally, the current treatment options and the most recent studies on PP are reviewed. Methods A search of the existing literature was conducted to obtain all relevant studies on guidelines, recommendations, parental and clinician practices, and epidemiological aspects. Results Although the incidence and risk factors for PP have been well delineated, there continues to be debates on its management and association with developmental delays. Current guidelines and recommendations on prevention set by the American Association of Pediatrics may not be easily followed by both parents and clinicians. There is also evidence that certain populations, including those with lower education, socioeconomic status, and in particular geographic regions may be more affected by the condition. Additionally, the marketing and financial aspects of PP treatments exist and should be addressed. Conclusions Better awareness and education are necessary to inform the population as a whole, although certain populations should be given special attention. Additionally, current guidelines and recommendations can be modified to foster a better grasp of the condition by both parents and clinicians. Adjusting current recommendations, introducing initiatives, and offering elaborate educational campaigns would help deliver these aims. Educating parents on PP as early as possible through clearer guidelines and close monitoring is central to preventing and managing this common condition.

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Auditory ERPs Reveal Brain Dysfunction in Infants With Plagiocephaly

Cited by 76 publications

References 18 publications

Analysis of individualized education programs to quantify long-term educational needs following surgical intervention for single-suture craniosynostosis

Analysis of individualized education programs to quantify long-term educational needs following surgical intervention for single-suture craniosynostosis

Determinants of Nonsynostotic Plagiocephaly: A Case-Control Study

Positional plagiocephaly: an analysis of the literature on the effectiveness of current guidelines

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