Photo du simulateur numérique Culture du doute 1 l Module 1 où se trouve la maman et son nourrisson lors d'une consultation

CULTURE OF DOUBT | MODULE 1

"Odd-shape" head, skull shape abnormality: what to do and when ?

SUMMARY

A young mother brings her one-month old baby for a consultation with her GP. She is concerned about the elongated appearance of her baby’s head. She comes back for her baby’s six-month follow-up appointment. The baby’s head looks even more elongated and its forehead is slightly domed. Still very concerned five years later, the parents consult a craniofacial specialist and go back to the paediatrician with a diagnosis.

AUTEURS

Photo portrait du Dr Giovanna Paternoster, neurochirurgienne Pédiatrique de l'hôpital Necker Enfants Malades
Dr Giovanna Paternoster
Paediatric Neurosurgery - Necker-Enfants Malades Hospital - AP HP - Medical Director of the French national reference centre for craniostenoses and craniofacial malformations, CRANIOST
(TETECOU Rare Diseases health care system)
Photo portrait du Dr Samer Haber, Chirurgien Maxillofaciale Pédiatrique
Dr Samer Haber
Paediatric Maxillofacial Surgery – Necker-Enfants Malades Hospital - AP HP - CRANIOST
(TETECOU Rare Diseases health care system)
Logo de l'Assistance publique- Hôpitaux de Paris
Logo craniost
Logo de la filière de santé santé maladies rares tetecou
Logo du centre de compétence des maladies rares

Treatment areas

Paediatrics
Neonatology, Neurology, Surgery

Learners

Paediatricians, General Practitioners

Duration

45 minutes

LANGUAGE

French

Consultation 1
Consultation 2
Consultation 3

During this consultation at your paediatric clinic, you see a mother and her 1-month old baby. On questioning the patient, you observe a mother who is worried about the appearance of her baby’s head. You carry out a clinical examination, then have a discussion with the mother, trying to be as reassuring and objective as possible.

You see the mother and her baby again for the baby’s mandatory six-month follow-up appointment. The mother is still worried and mentions that the baby’s head is even more elongated and its forehead is slightly domed. Discover the signs suggestive of a problem and the different examinations to be prescribed for the child.

At the last consultation, you see the mother and her child who is now 5-years old after a specialist assessment at the craniofacial unit, where your colleague suspected craniostenosis. You then answer the mother’s questions about the care and treatment of her child.

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