surgery Approach to microcephaly

Microcephaly is a small head related to the age and sex for the child that can be associated with closed fontanel. At any time that this symptom is discovered the child should be evaluated for associated anomalies, face and skull deformity, detailed neurological examination and developmental assessment. The detailed family history can be helpful to rule out constitutional or familial benign microcephaly. Sometimes the family history is helpful to find a metabolic or genetic disorder in a family with similar problem and developmental disorder. Past history of prematurity difficult delivery and hypoxic ischemic problem during birth of the child should be investigated. According to the clinical exam and family and past histories the laboratory and radiological assessments are considered to find the diagnosis and prepare for the appropriate treatment. In this presentation the approach to microcephaly is described.