Editorial. Neurodevelopmental outcome and sagittal synostosis

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One of the most common concerns among parents of children with sagittal synostosis is the potential impact of this condition on their child’s cognitive development. There are at least 2 aspects to this concern. First, is sagittal synostosis associated with cognitive deficits at all? Second, can treatment have an impact on cognitive development in children with sagittal synostosis? Inherent in the second question is the fact that the type of treatment offered is inextricably linked to timing of treatment relative to the age of the child.

Bellew et al. provide a much-needed glimpse into these unresolved issues.1

Article Information

Correspondence Abhaya V. Kulkarni: abhaya.kulkarni@sickkids.ca.

ACCOMPANYING ARTICLE DOI: 10.3171/2018.8.PEDS18186.

INCLUDE WHEN CITING Published online January 18, 2019; DOI: 10.3171/2018.9.PEDS18531.

Disclosures The authors report no conflict of interest.

© AANS, except where prohibited by US copyright law.

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References

1

Bellew MMandela RJChumas PD: Impact of age at surgery on neurodevelopmental outcomes with sagittal synostosis. J Neurosurg Pediatr [epub ahead of print January 18 2019. DOI: 10.3171/2018.8.PEDS18186]

2

Gray KEKapp-Simon KAStarr JRCollett BRWallace ERSpeltz ML: Predicting developmental delay in a longitudinal cohort of preschool children with single-suture craniosynostosis: is neurobehavioral assessment important? Dev Med Child Neurol 57:4564622015

3

Stancin TAylward GP: Assessment of development and behavior in Wolraich MLDrotar DDDworking PH (eds): Developmental-Behavioral Pediatrics: Evidence and Practice. Philadelphia: Mosby/Elsevier2008 pp 144176

4

Starr JRCollett BRGaither RKapp-Simon KACradock MMCunningham ML: Multicenter study of neurodevelopment in 3-year-old children with and without single-suture craniosynostosis. Arch Pediatr Adolesc Med 166:5365422012

1

Mandela RBellew MChumas PNash H: Impact of surgery timing for craniosynostosis on neurodevelopmental outcomes: a systematic review. J Neurosurg Pediatr [in press]2019

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