Wednesday, May 21, 2008

One year follow-up with the Neurosurgeon

Today we had Connor's one year follow up with Dr Wisoff, the excellent Neurosurgeon who performed Connor's Craniosynostosis operation. He asked if Connor was meeting his normal development milestones for a 15 month old and we reported that he is. Then he measured Connor's head which was 48cm and therefore is in the normal range - 50th percentile. As usual, which is something I love, he gave us a copy of his report to our pediatrician. To paraphrase (and translate the medical terms in brackets) his letter said:
The extensive craniectomy has completely reossified (his skull has grown back where the panel was cut out on top), there is resolution of the scaphocephaly (correction of an abnomally long narow skull) with a normal anterior-posterior diameter (head length if measured front to back), resolution of the frontal bossing (his forehead does not bulge anymore) and normalisation of the bitemporal (temple to temple), biparietal (top and sides of the skull from one side to the other) and bioccipital (back of the head) width. He also said the facies was unremarkable (meaning there was no unusual appearance or expression of the face) and that there was no new craniofacial (skull and face) or neurological (brain) abnormality. He said Connor has had an excellent functional and cosmetic outcome following his sagittal craniosynostosis correction and he did not believe there was any need for further neurosurgical follow-up.
I mentioned to Dr Wisoff about the fact that he landed on his head after being dropped when he was around seven months and he said nicely that, well,these things happen with kids and it probably won't be the last time he bumps his head. I also let him know about the seizure last week. He said that it most likely would be an impact seizure related to falling over and hitting his cheek on the magazine basket. I let him know we are seeing the neurologist next week also.
So overall a good report as we expected for Connor. Hard to imagine that this time last year we were huddled in the NYU Pediatric ICU and I was about the spend a terrible sleepless night by his bed. Now he is a beautiful and totally normal looking little boy. Of course he was always beautiful to us anyway.

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