Somatosensory evoked potentials are abnormal with plagiocephaly

Maiju Härmä, Leena Lauronen, Junnu Leikola, Jyri Hukki, Anne Saarikko

Tutkimustuotos: ArtikkelijulkaisuArtikkeliTieteellinenvertaisarvioitu


Background: Deformational plagiocephaly is usually managed conservatively, as it tends to improve over time and with the use of conser-vative measures. However, before the year 2017 we operated on patients with severe plagiocephaly and neurological symptoms at the Helsinki Cleft Palate and Craniofacial Center. Methods: Of the 20 infants with severe deformational plagiocephaly and neurological symptoms referred to us between 2014 and 2016, 10 underwent cranioplasty open reshaping of the posterior cranial vault. The parents of the last 10 patients were given information on the natural history of the condition and the patients were followed up with an outpatient protocol. The aim of this study was to gain information on the brain electrophysiology and recovery of patients after total cranial vault reconstruction by measuring the electroencephalogram (EEG) somatosensory evoked potentials (SEP; median nerve). Results: Of the 10 participants in the operation arm, six had abnormal SEP at least on the affected cerebral hemisphere and all SEPs were recorded as normal when controlled postoperatively. In the follow-up arm, eight out of 10 participants had abnormal SEP at the age of ap-proximately 24 months, and all had normalized SEPs at control visits. Conclusion: Our data suggest that cranioplasty open reshaping of the posterior cranial vault did not affect abnormal SEP-EEG recordings. We have abandoned the operations in deformational plagiocephaly patients due to findings suggesting that expanding cranioplasty is not beneficial for brain function in this patient group.

LehtiArchives of craniofacial surgery
DOI - pysyväislinkit
TilaJulkaistu - huhtik. 2022
OKM-julkaisutyyppiA1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä, vertaisarvioitu


Funding Information:
Division of Musculoskeletal and Plastic Surgery, Department of Plastic Surgery, Helsinki University Hospital, University of Helsinki, Helsinki, P.O. Box 281 (Stenbäckinkatu 11), FI-00029 HUS, Helsinki, Finland E-mail: The funding of this article was from departmental sources only (Maiju Härmä; grant No. 37).

Publisher Copyright:
© 2022 Korean Cleft Palate-Craniofacial Association.


  • 3126 Kirurgia, anestesiologia, tehohoito, radiologia

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