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Center for Endoscopic Craniosynostosis Surgery


What is Craniosynostosis?

It is very common for a newborn baby to have a misshapen head immediately after birth. This can be caused by the position of the baby in the womb or by the pressure of the birth canal during delivery. In these cases, the shape should begin to resolve in the first couple of days of life. A persistent misshapen head should be evaluated for craniosynostosis, a relatively common condition occurring in as many as one in one thousand births.

To understand craniosynostosis, it’s important to first appreciate the changes happening inside a newborn’s brain. Immediately following birth, the baby’s brain undergoes an extremely rapid phase of growth and development. It is calculated that the volume and size of the newborn’s brain will double in size in nine months and triple in size in 36 months. In order to accommodate such rapid brain growth, your baby’s skull cap must expand rapidly as well. Rather than being one single large piece of bone, his/her skull is made up of several bones (frontal, parietal, occipital, squamosal) which are held together by fibrous-like hinges called “sutures.” These sutures respond to brain growth by “stretching” and producing new bone, thereby allowing the skull to grow along with the underlying brain.

Should any of these sutures close or fuse before birth or soon after, while the brain is growing, craniosynostosis occurs. The term cranial stenosis and simply synostosis are used to describe this condition. Because the brain is normal, it continues to grow at its programmed rapid rate. However, the closed suture delays proper and parallel bone growth which leads the brain to take the path of least resistance and ultimately the shape of the brain, skull and even face become distorted. Each suture premature closure will lead to a specific abnormal head shape and unique set of problems.

Misshapen Head

If you are concerned about your newborn’s head appearing misshapen or flat, we are happy to provide an initial opinion at no-cost through email with photographs. Please contact us for instructions.

Minimally Invasive Surgical Treatment

In the early 1990s, David F. Jimenez, MD, a pediatric neurosurgeon, began developing the endoscopic strip craniectomy -- a minimally invasive surgical procedure to treat craniosynostosis. As the pioneer of the technique, he has performed the procedure more than any other surgeon in the world. Children from all over the world have come to San Antonio, Texas to benefit from the unmatched experience of Dr. Jimenez.

Pediatric Craniosynostosis Team

Dr. David Jimenez Professor and Chairman of the Department of Neurosurgery

Dr. David F. Jimenez
Professor and Chairman of the Department of Neurosurgery

 Dr. Izabela Tarasiewicz Assistant Professor in the Department of Neurosurgery

Dr. Izabela Tarasiewicz, MD, FRCS
Assistant Professor in the Department of Neurosurgery

Internationally-recognized pediatric neurosurgeon David F. Jimenez, M.D developed the Endoscopic-Assisted Craniectomy more than two decades ago. His goal was to decrease complications, surgical trauma and blood transfusions in children in need of treatment for craniosynostosis. In addition to being a renowned surgeon, he is also a parent, who knows he would not want his child to have to undergo a major surgery if excellent results could be achieved in a less invasive way.

Our scheduling team is ready to help coordinate an initial consultation with one of our pediatric specialists. Call Today - 210-670-5967

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Contact Us

Department of Neurosurgery
UT Health Science Center at San Antonio
7703 Floyd Curl Dr (MC7843)
San Antonio, Texas 78229
P: (210) 567-5625

© 2018 University Health System Children’s Health | Craniosynostosis Surgery in South Texas