Speech, Cognitive, and Behavioral Outcomes in Nonsyndromic Craniosynostosis

Becker, Devra B.; Petersen, J. Dayne; Kane, Alex A.; Cradock, Mary Michaeleen; Pilgram, Thomas K.; Marsh, Jeffrey L.

doi:10.1097/01.prs.0000172763.71043.b8

Cited by 176 publications

(128 citation statements)

References 13 publications

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“…Follow-up from surgery in the present study was 111.0 months (range 40.9 to 164.8 months), with an average patient age at survey completion of 10.2 years, which is longer than the follow-up of several other studies investigating this topic (2,3,5,6,19). Additionally, unlike other studies, all of the patients in the present study underwent surgical intervention for their SSC (2,10,19,20). It should be noted, however, that some authors contend that mental development in SSC may not be affected by surgical correction (2,9,(20)(21)(22)(23).…”

Section: Discussioncontrasting

confidence: 43%

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: Discussioncontrasting

confidence: 43%

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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“…This rate is consistent with findings of several studies that examined developmental attainment, learning disability, and speech and language abnormalities in isolated SC. 7,8,13,14,33,44,46 Although, in 1982, Renier et al 41 found that raised ICP was correlated with lower IQ, more recent studies 6,23,34 have failed to confirm the relationship between elevated ICP and neurocognitive outcomes in SC or other single-suture craniosynostosis. The lack of a correlation between developmental delay and raised ICP found in the present study supports the hypothesis that there is no simple causal relationship between ICP and neurocognitive anomalies found in SC.…”

mentioning

confidence: 97%

The preoperative incidence of raised intracranial pressure in nonsyndromic sagittal craniosynostosis is underestimated in the literature

Wall¹,

Thomas²,

Johnson³

et al. 2014

PED

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Object The presence of raised intracranial pressure (ICP) in untreated nonsyndromic, isolated sagittal craniosynostosis (SC) is an important functional indication for surgery. Methods A retrospective review was performed of all 284 patients presenting with SC to the Oxford Craniofacial Unit between 1995 and 2010. Results Intraparenchymal ICP monitoring was performed in 39 children following a standard unit protocol. Monitoring of ICP was offered for all patients in whom nonoperative management was considered on the basis of minimal deformity or in cases in which parents were reluctant to agree to corrective surgery. These patients presented at an older age than the rest of the cohort (mean age 56 months), with marked scaphocephaly (16/39, 41%), mild scaphocephaly (11, 28%), or no scaphocephalic deformity (12, 31%). Raised ICP was found in 17 (44%) patients, with no significant difference in its incidence among the 3 different deformity types. Raised ICP was not predicted by the presence of symptoms of ICP or developmental delay or by ophthalmological or radiological findings. Conclusions The incidence of raised ICP in SC reported here is greater than that previously published in the literature. The lack of a reliable noninvasive method to identify individuals with elevated ICP in SC mandates consideration of intraparenchymal ICP monitoring in all patients for whom nonoperative management is contemplated.

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“…Shipster et al 32 observaron funcionamiento cognoscitivo normal, mientras que otros reportan alteraciones en el lenguaje [32][33][34][35][36] , en la cognición 33,36 , en la motricidad 36 y en la conducta 33 . El hallazgo más frecuente es el déficit en el lenguaje, los distintos estudios mencionan porcentajes variables de pacientes con estas alteraciones, desde el 30% 33,35 hasta el 50% 32,34 . También se menciona que los pacientes con craneosinostosis simple tienen de 1,5 a 2 veces mayor probabilidad de presentar alteraciones cognitivas, de lenguaje y motoras que en la población normal 36 .…”

Section: Etapa Preescolarunclassified

“…La mayoría de los estudios que mencionan el funcionamiento cognoscitivo en esta edad no tienen grupo control [32][33][34][35] y algunos las muestras son pequeñas para establecer una relación causal entre las alteraciones encontradas y la craneosinostosis 34,35 , además el estudio de Mendonca 35 no establece el instrumento que utilizó para evaluar el lenguaje. …”

Section: Etapa Preescolarunclassified

Una revisión de la literatura acerca de las características neuropsicológicas de niños con craneosinostosis simple en diferentes edades

Moreno

et al. 2017

Rev. chil. neuro-psiquiatr.

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Speech, Cognitive, and Behavioral Outcomes in Nonsyndromic Craniosynostosis

Cited by 176 publications

References 13 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

The preoperative incidence of raised intracranial pressure in nonsyndromic sagittal craniosynostosis is underestimated in the literature

Una revisión de la literatura acerca de las características neuropsicológicas de niños con craneosinostosis simple en diferentes edades

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