Concerns About Uneven Skull: When to See a Neurologist or Orthopedic Specialist? - Neurosurgery

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Head issues


Hello Dr.
Zhao, if there is a suspected bone issue in the head (approximately on the sides of the frontal bone, with a feeling of irregularities upon palpation), and it is not painful, I am concerned because my friends and family do not have this condition.
I am unsure if it has been present for a long time or if it has developed recently.
For this type of issue, if I would like a doctor to perform a physical examination, should I see a neurologist, a neurosurgeon, or an orthopedic surgeon? Thank you.

Xiao Dong, 40~49 year old female. Ask Date: 2021/05/19

Dr. Zhao Shaoqing reply Neurosurgery


Hello: You can visit our neurosurgery department for a direct assessment.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2021/05/19

More Info


When it comes to concerns about uneven skull shape, particularly if you notice irregularities in the frontal bone area without accompanying pain, it is understandable to feel anxious, especially if this condition is not common among your friends and family. The first step in addressing your concerns is to determine the appropriate medical specialist to consult.

In general, if you have a noticeable change in the shape of your skull, it is advisable to see a neurologist or an orthopedic specialist. A neurologist can evaluate any potential neurological implications of the skull irregularities, while an orthopedic specialist, particularly one who focuses on craniofacial issues, can assess the structural aspects of the skull. Both specialists can perform a physical examination, which may include palpation of the skull to assess for any abnormalities.

It is important to note that variations in skull shape can be benign and may not indicate any underlying pathology. Conditions such as positional plagiocephaly, which is more common in infants, or benign skull deformities can occur without any significant health concerns. However, if there are changes that have developed recently, or if you have experienced any other symptoms such as headaches, visual disturbances, or neurological deficits, it is crucial to seek medical attention promptly.

During your visit, the doctor will likely conduct a thorough history and physical examination. They may ask about any previous head injuries, family history of cranial deformities, or other symptoms you may be experiencing. Depending on their findings, they may recommend imaging studies such as X-rays or a CT scan to get a clearer picture of the skull's structure. These imaging studies can help rule out any serious conditions, such as craniosynostosis (premature fusion of skull bones) or other structural abnormalities.

If the irregularities in your skull are determined to be benign, the doctor may suggest monitoring the condition over time, especially if there are no associated symptoms. In some cases, they may refer you to a craniofacial specialist if surgical intervention is deemed necessary for cosmetic reasons or if there are functional implications.

In summary, if you are concerned about uneven skull shape, it is appropriate to consult either a neurologist or an orthopedic specialist. They can provide a thorough evaluation and determine if further investigation or treatment is necessary. Remember that while it is natural to worry about changes in your body, many conditions are benign and manageable with proper medical guidance. Don't hesitate to seek help; your health and peace of mind are important.

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