Neurosurgery for GPs

Question	Answer
TRUE/FALSE? A. Macrocephaly in children is most often familial and benign.	True
TRUE/FALSE? B. In child who presents after a brief episode of loss of consciousness following head trauma, the presence of a cephalohaematoma is indicative of a skull fracture.	True
TRUE/FALSE? C. Occipital plagiocephaly usually requires surgical correction.	False. Plagiocephaly (posterior flat head) is usually due to babies lying on their back and does not require surgical management.
TRUE/FALSE? D. V-P shunts in children have a failure rate of <5% at 10 years.	False. V-P shunts have a high failure rate, 50-80% at 10 years.
TRUE/FALSE? E. Sacro-coccygeal pits found on neonatal checks always require imaging such as an ultrasound.	False. Sacro-coccygeal pits are usually of no consequence. Any midline skin abnormalities, tufts of hair found in the lumbar region requires investigation (eg. ultrasound/MRI if >6/12). Also check coccygeal pits where base is not visible.

Resource summary

	Created by Averil Tam almost 6 years ago