Approach

An infant with a head tilt is not always obvious, as head control emerges over the first few months. Carers may notice a head tilt or tendency to look to one side immediately after birth, but in other cases, the asymmetry goes unrecognised for a few months. Alternatively, the primary care physician may be the first to notice a head tilt or rotation preference at the 2-month well child check. Cranial asymmetries, such as flattening of one occiput, may be present at birth or may not develop until the first few months of life. Early education and treatment is crucial for preventing further deformity.

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