severe plagio with shunt

severe plagio with shunt

Clinical Orthotic Consultants

6/22/2009

Hello all,

 

I have been getting my money out of this forum lately!

 

I was just sent a 10 week old boy. He was a twin, 3 weeks premature. Cleft
palate, banding issues, and hydrocephaly. He has had a shunt inserted
already by a Neurosurgeon (4 hours away). The Neurosurgeon would like me to
apply a plagio helmet already. He claims there will be no issues with
swelling as long as I don't impinge on the shunt! Shunt arises just over
the left ear, runs down behind the ear and into abdomen. Severe flattening
posterior/right.

 

This child obviously has several health issues, and at 10 weeks is not
actively rolling at all.

 

Any thoughts on design and treatment? Parents are ready to go, but I would
like to get some input from the experienced Orthotists that use this forum.
This will obviously be the most challenging plagio case I have ever treated
(if I treat it).

 

Thanks

 

Derek Kozar M.Sc., C.O.(c)

Certified Orthotist

Clinical Orthotic Consultants of Windsor, Inc.

316-3200 Deziel Dr.

Windsor, ON

N8W 5K8

519-944-8340 p

519-944-8360 f