The most common, primary referrals to a pediatric neurosurgeon's office are
the evaluation and management of the child with a large head (to rule out
hydrocephalus and other space occupying lesions) a misshappen head (to rule
out various forms of craniosynostosis), or some form of congenital spinal
abnormality (spinal dysraphism). The authors discuss the pathogenesis and c
linical features of these disorders, provide a framework for diagnostic eva
luation and referral, and discuss the various treatment options available f
or each.