{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:18:14Z","timestamp":1789705094412,"version":"4.0.1"},"reference-count":50,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,1]]},"abstract":"\nOBJECTIVE<\/jats:title>\nThe current literature on unilateral coronal craniosynostosis is replete with repair techniques and surgical outcomes; however, information regarding neurodevelopment remains unclear. Therefore, the aim of this systematic review and meta-analysis was to comprehensively assess the neurodevelopmental outcomes of patients with unicoronal craniosynostosis compared with their healthy peers or normative data.<\/jats:p>\n<\/jats:sec>\n\nMETHODS<\/jats:title>\nA systematic review of the Ovid MEDLINE, Embase, Web of Science, Scopus, Cochrane Library, and ClinicalTrials.gov<\/jats:ext-link> databases from database inception to January 19, 2022, was performed. Included studies assessed neurodevelopment of patients with unicoronal craniosynostosis. Two independent reviewers selected studies and extracted data based on a priori inclusion and exclusion criteria. Results of developmental tests were compared with normative data or controls to generate Hedges\u2019 g statistics for meta-analysis. The quality of included studies was evaluated using the National Institutes of Health Assessment Tool.<\/jats:p>\n<\/jats:sec>\n\nRESULTS<\/jats:title>\nA total of 19 studies were included and analyzed, with an overall fair reporting quality. A meta-analysis of 325 postoperative patients demonstrated that scores of general neurodevelopment were below average but within one standard deviation of the norm (Hedges\u2019 g = \u22120.68 [95% CI \u22120.90 to \u22120.45], p < 0.001). Similarly, postoperative patients exhibited lower scores in verbal, psychomotor, and mathematic outcome assessments.<\/jats:p>\n<\/jats:sec>\n\nCONCLUSIONS<\/jats:title>\nThis systematic review and meta-analysis found that patients with unicoronal craniosynostosis had poorer neurodevelopment, although scores generally remained within the normal range. These data may guide implementation of regular neurocognitive assessments and early learning support of patients with unicoronal craniosynostosis.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2022.9.peds22283","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T13:56:26Z","timestamp":1666360586000},"page":"16-23","source":"Crossref","is-referenced-by-count":18,"title":["Neurodevelopment in unilateral coronal craniosynostosis: a systematic review and meta-analysis"],"prefix":"10.3171","volume":"31","author":[{"given":"Annahita R.","family":"Fotouhi","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah N.","family":"Chiang","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle M.","family":"Doering","sequence":"additional","affiliation":[{"name":"Bernard Becker Medical Library, Washington University School of Medicine, St. Louis, Missouri; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary B.","family":"Skolnick","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sybill D.","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer M.","family":"Strahle","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean D.","family":"McEvoy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamlesh B.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1007\/s00381-022-05448-0","article-title":"Neurocognitive outcomes of children with non-syndromic single-suture craniosynostosis","volume":"38","author":"Kalmar CL","year":"2022","unstructured":"Kalmar CL, Lang SS, Heuer GG, Neurocognitive outcomes of children with non-syndromic single-suture craniosynostosis. 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