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Causes of Craniosynostosis

Illustration of various fetal positions in the womb, including cephalic, breech, oblique, and transverse, which may influence cranial development.

Abnormal fetal positioning and genetic factors may contribute to craniosynostosis.

Causes of Craniosynostosis

Causes of craniosynostosis can be genetic, environmental, or a combination of both. While many cases arise without a known reason, understanding the underlying mechanisms can help parents and healthcare providers identify the condition early. Craniosynostosis occurs when one or more cranial sutures close too soon, disrupting normal skull and brain growth.

Genetic Factors | Causes of Craniosynostosis

Approximately 15–30% of cases are associated with known genetic syndromes, such as:

Apert syndrome

Crouzon syndrome

Pfeiffer syndrome

Muenke syndrome

These syndromic forms of craniosynostosis often involve multiple sutures and come with other physical abnormalities, such as limb deformities or facial asymmetry. Mutations in genes such as FGFR2, FGFR3, and TWIST1 have been identified as common culprits.

Non-Syndromic Causes

In most cases, craniosynostosis occurs in isolation, without other medical conditions or inherited traits. These non-syndromic cases may result from:

Spontaneous gene mutations

Intrauterine constraints, such as limited space in the womb

Abnormal foetal positioning

Multiple pregnancies, which increase pressure on the baby’s head

Environmental Factors

While not as well-established, certain environmental factors may contribute to craniosynostosis, including:

Maternal smoking

Advanced paternal age

Certain fertility treatments

Use of specific medications during pregnancy

More research is needed to fully understand how these factors interact with genetic predispositions.

Prematurity and Metabolic Disorders

Some premature infants are at greater risk due to altered bone development. Additionally, metabolic disorders affecting calcium or phosphate levels can influence early suture fusion.

In conclusion, causes of craniosynostosis vary widely, ranging from genetic mutations to external pressures and unknown factors. Recognising risk factors helps guide screening, especially in newborns with abnormal head shapes or family history of related conditions.

[Next: Symptoms of Craniosynostosis →]

Treatment for Syndromic Craniosynostosis
Craniosynostosis
Complications and Recovery from Craniosynostosis
Diagnosis of Craniosynostosis

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