What Is Deformational Plagiocephaly?

Positional plagiocephaly, or deformational plagiocephaly, refers to a condition where an infant’s head develops a flattened shape. It occurs due to external pressures on the soft and malleable skull of a baby, typically during the first few months of life or intrauterine positioning.

Head Shapes – Flattening:

• Plagiocephaly: This type occurs when there is flattening on one side of the head, resulting in an asymmetrical shape. It may be caused by factors such as prolonged pressure on one area of the skull when the baby spends excessive time lying in the same position or consistently turns their head to one side while sleeping. Intrauterine position especially when twins compete for room in the womb may cause deformation.

• Brachycephaly: Brachycephaly involves a flattening of the back of the head, leading to a wider appearance. It can be caused by extended periods of time spent lying on the back, as recommended for safe sleep practices, or by using devices that restrict movement, such as car seats or baby swings.

• Torticollis: Torticollis is a condition that is characterized by the tightening of one side of the neck, causing the child’s head to turn in one direction and tilt in the opposite direction. This condition can lead to the flattening of one side of the skull and potential difficulties in motor skill development.

Plagiocephaly or Brachycephaly is considered a relatively common condition and is typically benign. It does not cause developmental or neurological problems in most cases. However, it is important to address the condition to prevent it from worsening and to promote a more symmetrical head shape. Treatment options may include repositioning techniques, supervised tummy time, physical therapy, and, in some cases, specialized helmets called Cranial Remolding Orthoses) to help reshape the head.