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Apple dome skull · Apfelkopfform · Domed skull · Extreme Brachyzephalie
Apfelkopf, or apple head, describes an extremely rounded, dome-like skull shape with a very pronounced forehead angle, or stop. This skeletal variation affects the structure of the head and can predispose dogs to open fontanelles, which are soft spots where the skull bones fail to close fully. In some cases, this shape can also restrict fluid flow in the brain, leading to a buildup of fluid known as hydrocephalus.
Owners will primarily notice an unusually dome-shaped head, which is typically visible from birth or early puppyhood. If secondary brain pressure develops, a young dog may show signs like coordination issues, aimless wandering, or seizures, usually appearing within the first year of life.
The underlying skull shape cannot be altered, but secondary complications like fluid buildup can be managed with lifelong medication or a one-time surgery to implant a shunt. Depending on whether the dog requires daily supportive care or advanced surgery, treatment costs range from 0 to 4,000 EUR.
More conditions affecting the General / metabolic.
Estimated range of typical treatment cost. Actual cost depends on severity, clinic and region.