What causes abnormal head shape and what should I do about it?

Symptom Database

Abnormal head shape, also known as head deformity, can be a cause of concern for many parents. It is important to understand the different types of abnormal head shapes and their causes in order to address them effectively. In this article, we will explore the various conditions that can lead to abnormal head shape, such as craniosynostosis, plagiocephaly, brachycephaly, scaphocephaly, positional plagiocephaly, cranial asymmetry, dolichocephaly, and trigonocephaly. We will also discuss what steps can be taken to address these conditions and provide valuable insights for parents.

Craniosynostosis

Craniosynostosis is a condition where the bones in an infant’s skull fuse together too early, leading to an abnormal head shape. This condition can occur due to genetic factors or as a result of certain syndromes. It is important to consult a healthcare professional if you suspect your child may have craniosynostosis, as early intervention is crucial for proper treatment.

Plagiocephaly

Plagiocephaly is a condition characterized by an asymmetrical head shape, where one side of the head appears flattened. This can occur due to various factors, such as positioning in the womb, prolonged pressure on one side of the head, or torticollis (a condition where the neck muscles are tight or shortened on one side). Plagiocephaly can often be corrected through repositioning techniques, physical therapy, or the use of specialized helmets.

Brachycephaly

Brachycephaly refers to a head shape that is wider and shorter than average. This can be caused by the premature fusion of the skull bones or by external factors such as prolonged pressure on the back of the head. Treatment options for brachycephaly may include repositioning techniques, physical therapy, or the use of specialized helmets.

Scaphocephaly

Scaphocephaly is a condition characterized by a long and narrow head shape. It can occur due to the premature fusion of the sagittal suture, which runs from the front to the back of the skull. Treatment for scaphocephaly may involve surgery to release the fused suture and reshape the skull.

Positional Plagiocephaly

Positional plagiocephaly is a type of plagiocephaly that occurs as a result of external factors, such as consistently lying in the same position. This can lead to a flat spot on one side of the head. Repositioning techniques, physical therapy, and the use of specialized pillows or helmets can help correct positional plagiocephaly.

Cranial Asymmetry

Cranial asymmetry refers to an uneven or lopsided head shape. It can occur due to various factors, including positioning in the womb, torticollis, or external factors such as consistently lying in the same position. Treatment options for cranial asymmetry may include repositioning techniques, physical therapy, or the use of specialized helmets.

Dolichocephaly

Dolichocephaly is a condition characterized by a long and narrow head shape. It can occur due to various factors, such as genetic factors or external factors such as consistently lying in the same position. Treatment options for dolichocephaly may include repositioning techniques, physical therapy, or the use of specialized helmets.

Trigonocephaly

Trigonocephaly is a condition characterized by a triangular-shaped head. It can occur due to the premature fusion of the metopic suture, which runs from the top of the head to the forehead. Treatment for trigonocephaly may involve surgery to release the fused suture and reshape the skull.

What Should I Do About It?

If you notice any abnormalities in your child’s head shape, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment options. Early intervention is key in addressing abnormal head shape and ensuring proper development.

Here are some steps you can take if you suspect your child may have an abnormal head shape:

  • Consult a healthcare professional: Schedule an appointment with your child’s pediatrician or a specialist in craniofacial abnormalities to discuss your concerns and seek guidance.
  • Follow recommended repositioning techniques: If your child’s abnormal head shape is due to positioning, your healthcare professional may recommend specific repositioning techniques to help correct it. These techniques may involve changing the position in which your child sleeps or sits.
  • Consider physical therapy: In some cases, physical therapy may be recommended to address underlying muscle imbalances or tightness that contribute to abnormal head shape.
  • Explore the use of specialized helmets: Depending on the severity of the abnormal head shape, your healthcare professional may recommend the use of specialized helmets. These helmets are designed to gently reshape the skull over time.
  • Monitor progress: Regularly monitor your child’s head shape and track any changes or improvements. Keep in touch with your healthcare professional to ensure that the chosen treatment plan is effective.

Remember, every child is unique, and the treatment plan for abnormal head shape may vary depending on the specific condition and individual circumstances. It is important to work closely with healthcare professionals to determine the best course of action for your child.

In conclusion, abnormal head shape can be caused by various conditions such as craniosynostosis, plagiocephaly, brachycephaly, scaphocephaly, positional plagiocephaly, cranial asymmetry, dolichocephaly, and trigonocephaly. Early intervention and appropriate treatment options are crucial in addressing these conditions and ensuring proper development. By consulting healthcare professionals, following recommended techniques, and monitoring progress, parents can take proactive steps to address abnormal head shape and support their child’s overall well-being.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA