The impact of age at surgery on long-term neuropsychological outcomes in sagittal craniosynostosis.

摘要: BACKGROUND The relationship between surgical age and long-term neuropsychological outcomes in sagittal-suture craniosynostosis remains equivocal. Whole-vault cranioplasty strip craniectomy are performed at various times individuals with craniosynostosis. This study used comprehensive neurological testing to examine the time of surgery function. METHODS Seventy patients who had previously undergone either whole-vault or were examined divided into three groups: treatment before 6 months (n = 41), 12 21), after 8). To cognitive functioning, participants ages 5 25 years underwent neurodevelopmental tests evaluate intelligence, achievement, learning disabilities. RESULTS Compared those treated months, demonstrated higher full-scale IQ (p < 0.01) verbal 0.01). Patients received also superior abilities word reading 0.01), comprehension spelling numerical operations 0.05) relative old. A statistically significant percentage one more reading-related disabilities as compared undergoing earlier surgery. CONCLUSIONS suggests that old results improved outcomes. Future studies should how technique impacts these measures. CLINICAL QUESTION/LEVEL OF EVIDENCE Therapeutic, III.