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Textbook of Pediatric Neurosurgery pp 1–38Cite as

Deformational Posterior Plagiocephaly

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Abstract

Differently from the posterior synostotic plagiocephaly (PSP or lambdoid craniosynostosis), where the primary abnormal sutural development is the cause of the skull deformation, posterior deformational plagiocephaly (PDP) is the result of the application of prenatal and postnatal secondary abnormal forces on an intrinsic normal skull with patent sutures (Kalra and Walker 2012). Consequently, the skull shows an asymmetrical (PDP) or symmetrical occipital flattening (posterior deformational brachycephaly, PDB) or a combination of both other than associated deformations of both the neurocranium and the viscerocranium due to the compensatory cranial growth. Actually, because of its malleability and its quick growth in the first months of life (the brain almost doubles its volume within the 7–8 month of life), the skull is particularly prone to change its shape during this age period following the application of external forces. Since they disappear quickly and spontaneously, peripartum deformities are not considered as PDP. The term PDP should be actually limited only to the deformity persisting for 4–6 weeks after birth (Linz et al. 2017).

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Authors and Affiliations

  1. Pediatric Neurosurgery, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy

    Luca Massimi

  2. Università Cattolica del Sacro Cuore, Rome, Italy

    Luca Massimi

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  1. Luca Massimi
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Correspondence to Luca Massimi .

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Editors and Affiliations

  1. International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Oakland Medical Center, Oakland, CA, USA

    Dachling Pang

  3. University of Toronto Hospital for Sick Children, Toronto, ON, Canada

    James T. Rutka

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  1. Pediatric Neurosurgery, International Neuroscience Institute, Hannover, Germany

    Concezio Di Rocco

  2. Service de Neurochirurgie Pédiatrique, Hôpital Femme Mère Enfant-GHE, Lyon, France

    Federico Di Rocco

  3. Centre de Référence Craniosténoses, Université de Lyon, Lyon, France

    Federico Di Rocco

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Massimi, L. (2019). Deformational Posterior Plagiocephaly. In: Di Rocco, C., Pang, D., Rutka, J. (eds) Textbook of Pediatric Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31512-6_68-1

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