Multiple Sutures Synostosis: Key Points for the Neurosurgeons and Management Principles

The involvement of multiple cranial sutures renders care of the patient with craniosynostosis significantly more complicated. In addition to a more complex deformity of the skull, these patients are more likely to develop brain dysfunction related to progressive structural abnormalities. Persons with multiple cranial suture synostosis are more likely to have raised intracranial pressure, hydrocephalus, cerebellar tonsil herniation, and syringomyelia (Fig. 13.1). It is not only incumbent upon the neurosurgeon to be able to perform appropriate surgical interventions but also to anticipate the development of these conditions in order to minimize their ultimate impact.