Large head at the birth Opinion and diagnose please???????

3 Likes

LikeAnswersShare

Don't jump into diagnosis. This s LARGE HEAD. But the baby seems quite ok so I don't think there s any Raised ICP. 1. first have u confirmed with appropriate charts ?? OFC should be >+2 S.D to call it as large head 2. Check for parents head circumference and compare it with the baby. It may be FAMILIAL or CONSTITUTIONAL too. 3. Whether he is developmentally Normal ? 4. Whether he s neurologically normal otherwise ? 5. Check for dysmorphic features or neurocutaneous markers ?? - both NFS and Tuberous sclerosis ll have large head 6. Overgrowth limited to head only or other body parts also involved ?? - soto's syndrome and other disorders causing somatic overgrowth 7. Features of metabolic disorders ?? - MPS, Glutaric aciduria ll have large head If above features r normal then chances r very high that it ll be a normal variant. 8. Then for MRI BRAIN. Then u ll know whether HYdrocephalous s there or not. It can be benign enlargement of SA spaces / Benign extra axial (SD) collections also. MRI ll give the final diagnosis. In case u get HCP go for VP SHUNTING.

Also sometime FRONTAL BOSSING due to vitamin D deficiency ll also give a false appearance of large head. To rule that out u have to check CRANIAL TO FACIAL ratio.
0

Prominent frontal prominence ,maybe craniosynostosis .Whats the head circumference,is it above normal percentile ,also rate of increase is important.If normal milestones reassure the parents.If ass delayed development then neuroimaging. Look for neurocutaneous markers .Also height for cerebral gigantism or SOTOS .

Craniosynostosis will have microcephaly !
0

View 1 other reply

Dx : TRIGONOCEPHALY, PROMINENT PHILTRUM, WITH BILATETAL TEMPORAL MUSCLE HYPOPLACIA. CONSISTENT WITH SYNDROMIC CHILD. WORK UP : MRI BRAIN.

Metopic Craniosynostosis with Trigonocephaly. NCCT head for presence of hydrocephalus. Formal visual assessment needed for need of shunt.

Hydrocephalus. Neuro surgery opinion for shunt procdures to stabilise intracraial pressure

Totally agree..look at d child clinically 1st..then look for pathologies..do not label

Trigonocephaly d/t fused metopic sutures.

hydrocephalus.neurosurgery opinion.

Looking like trigonocephaly

Frontal prominence

Load more answers

Cases that would interest you