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Master Thesis

Circonstances de diagnostic de la craniosténose non syndromique chez l’enfant

Abstract : BACKGROUND : Craniosynostosis is premature fusion of one or several cranial sutures in antenatal period. This is the cause of progressive cranial deformation, and in 10% of cases intracranial hypertension and visual disturbances. The treatment is surgical and must be early to get satisfactory results. We wondered if the general practitioners and pediatricians know how to diagnose early craniosynostosis. MATERIALS AND METHODS : We have sent an online quizz about craniosynostosis diagnosis and treatment to all pediatricians and doctors of PMI in Aquitaine (France). Secondly, we studied the diagnosis circumstances of children followed for craniosynostosis at Bordeaux University Hospital. The primary endpoint was the time to diagnosis. Age at diagnosis was regarded as late between 6 and 12 months, and very late in excess of 12 months. RESULTS : We sent our questionnaire to 331 doctors. The response rate was 72.2%. 80.8% of them were pediatricians. The doctors recognized each type of craniosynostosis in about 50% of cases. The older physicians were more familiar with craniosynostosis with a significant difference. Concerning the study of children followed in Bordeaux, we included 91 patients followed in the neurosurgery department since 2007. Our population was similar to descriptions of craniosynostosis in the literature. The diagnosis was early in 70.3% of patients. The median age at diagnosis was 2 months (0-58). The diagnosis was earlier in case of family history, and delayed in premature infants and in patients who have had an X-ray of the skull bones. CONCLUSION : The knowledge of doctors about craniosynostosis should be improved to enable earlier diagnosis and avoid unnecessary investigations.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01245943
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, December 17, 2015 - 6:59:03 PM
Last modification on : Friday, November 8, 2019 - 4:28:28 PM
Long-term archiving on: : Saturday, April 29, 2017 - 8:12:40 PM

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Céline Belleau. Circonstances de diagnostic de la craniosténose non syndromique chez l’enfant. Médecine humaine et pathologie. 2015. ⟨dumas-01245943⟩

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