Principles of Investigation

Abstract

This may be made soon after birth, on the shape of the head, by an obstetrician, paediatrician or general practitioner. Less desirably, the diagnosis may be made later on the basis of some functional impairment or facial deformity, by a physician or ophthalmologist. It is not usual to find much knowledge of the prognostic significance of craniosynostosis among the medical practitioners likely to make the primary diagnosis, nor is it reasonable to expect general understanding of the problems and controversies arising from the condition. But we do urge that there should be awareness that a child with an unusual head may need early treatment, and readiness to consult a specialist in this field. We also urge that the doctors making the initial diagnosis should, wherever possible, reassure the parents. They can be told that most cranial deformities do not constitute a threat to normal mental or physical development, and that much can be done even for the most grotesque appearances.