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Neurologic Findings in Infants With Deformational Plagiocephaly

Cleft Palate and Craniofacial Institute, Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri

Devra B. Becker, MD

Cleft Palate and Craniofacial Institute, Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri

Thomas K. Pilgram, PhD

Cleft Palate and Craniofacial Institute, Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri

Michael Noetzel, MD

Cleft Palate and Craniofacial Institute, Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri

Jay Epstein, MD

Cleft Palate and Craniofacial Institute, Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri

Alex A. Kane, MD

Cleft Palate and Craniofacial Institute, Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St Louis, Missouri, kanea{at}wustl.edu

This study evaluates the neurologic profiles of infants with deformational plagiocephaly. Forty-nine infants with deformational plagiocephaly between the ages of 4 and 13 months (mean age, 8.1 months) are evaluated, along with 50 age-matched control subjects (mean age, 8.1 months). A modified version of the Hammersmith infant neurologic assessment was performed on each infant. A caregiver completed a questionnaire regarding the infant's prematurity, development, and health to date. Results are analyzed using t test. There is a statistically significant difference in overall neurologic assessment scores of infants with deformational plagiocephaly vs their healthy peers (P = .002). This difference is predominately in tone, whereby infants with deformational plagiocephaly have significantly more abnormal tone than nonplagiocephalic infants (P = .003). This abnormality is not one of decreased tone but one of variable tone, deflecting abnormally high and low tone. Infants with deformational plagiocephaly are more likely to have altered tone but not exclusively decreased tone.

Key Words: deformational plagiocephaly • neurodevelopment • plagiocephaly

This version was published on July 1, 2008

Journal of Child Neurology, Vol. 23, No. 7, 742-747 (2008)
DOI: 10.1177/0883073808314362


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