Brain, Pediatrics FAQ

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Understanding Shaken Baby Syndrome and Neck Support for Infants

Shaken Baby Syndrome and the Neck Hello, Doctor! A few days ago, while I was burping my baby who is less than 10 days old, I wasn't familiar with the situation and didn't support her neck properly (I only placed my hand on her shoulders). Suddenly, she lifted her head a...


Dr. Pei Rensheng Reply:
Hello: Based on your description, there should not be any injuries to the baby's brain or neck. You can monitor the baby's activity over the next couple of days for signs such as vomiting, seizures, or excessive crying to determine if a visit to the doctor is necessary....

[Read More] Understanding Shaken Baby Syndrome and Neck Support for Infants


Do Frequent Head Bumps Affect Brain Development in Toddlers?

Frequent head injuries? Could you please tell me if a child who will turn 2 years old this May, who can walk and run, but has been in the crawling stage and has bumped their head several times, including a fall in the bathroom in February, which resulted in crying but no visible ...


Dr. Zhong Ruixian Reply:
Unless there is a significant impact, it generally will not affect brain development. The condition known as Shaken Baby Syndrome occurs when a caregiver violently shakes an infant's head, typically involving multiple rapid shakes, and does not necessarily require direct imp...

[Read More] Do Frequent Head Bumps Affect Brain Development in Toddlers?


Concerns About My 1-Year-Old's Development and Health Issues

The baby is currently 1 year and 7 months old, and there is a depression in his fontanelle? Hello doctor, my baby is currently one year and seven months old. He has a depression in his fontanelle that is about 10 centimeters long and one and a half fingers wide. He often has diar...


Dr. Xiao Kaiwen Reply:
Infants with abnormal head shapes and developmental delays, characterized by wide cranial sutures and a prominent forehead, may require an evaluation for potential brain abnormalities. It is recommended to consult a pediatric neurologist at a major hospital for further assessment...

[Read More] Concerns About My 1-Year-Old's Development and Health Issues


Understanding Premature Infants: Key Concerns for 20-Week Old Babies

Issues Related to Premature Infants I would like to ask about a premature infant born at approximately 20 weeks gestation but weighing 3 kilograms. Should we be concerned about the incomplete development of the child's organs? Are there any specific considerations we should ...


Dr. Ma Zhihao Reply:
Continuous outpatient follow-up for complications related to previous preterm birth, such as those affecting the heart, eyes, and brain. Other aspects should be monitored according to corrected age, including growth and developmental milestones such as sitting, crawling, and stan...

[Read More] Understanding Premature Infants: Key Concerns for 20-Week Old Babies


Understanding Small Fontanelles in Infants: Impacts and Assessments

The baby's fontanelle is small? Hello, Doctor: When my son was born, the doctor told me that the baby's fontanelle was small and needed to be monitored. The baby's head circumference at birth was 36 cm. Will a small fontanelle at birth affect brain development? Wha...


Dr. Ma Zhihao Reply:
The anterior fontanelle measures approximately two centimeters and typically closes around 18 months after birth. The size can vary among individuals, and regular outpatient follow-up is sufficient. Height, weight, and head circumference can be referenced against the growth chart...

[Read More] Understanding Small Fontanelles in Infants: Impacts and Assessments


Managing Fever in Children: Concerns About Seizures and Medication Timing

Fever in children Hello, Doctor: My daughter is about 11 years old now. When she was around 5 years old, she had a fever that caused febrile seizures, so I would give her antipyretics early. If her temperature was between 37.5°C and 38°C, I would give her liquid fever medicine, a...


Dr. Xiao Kaiwen Reply:
The brain of an 11-year-old child is fully developed, and they will not experience febrile seizures again. If seizures or convulsions occur, regardless of whether there is a fever, it is considered abnormal and requires prompt medical evaluation. Therefore, there is no need to ex...

[Read More] Managing Fever in Children: Concerns About Seizures and Medication Timing


Understanding Shaken Baby Syndrome: Concerns for New Moms

Concerns about improper support of an infant's neck and the risk of shaken baby syndrome? Hello, doctor. I am a very anxious new mother, and my anxiety has caused a lot of hair loss... There is an overwhelming amount of information online, and it's often "extreme.&...


Dr. Zhong Ruixian Reply:
Hello, Junjun: Burping or holding the baby with their head tilted back or sideways is a common situation and not caused by external force. As you mentioned, only violent shaking of the baby up and down or side to side (2-3 times per second) for a short duration can lead to Shaken...

[Read More] Understanding Shaken Baby Syndrome: Concerns for New Moms


Essential Ultrasound Checks for Infants: Timing and Importance

Neonatal ultrasound examination Hello, doctor! My baby is currently over four months old. We have not conducted various ultrasound examinations yet because we were waiting for insurance approval. I would like to ask if doing the checks now would mean missing the optimal period fo...


Dr. Xie Wanghu Reply:
Hello! If a baby belongs to a higher risk group, such as having a family history of genetic disorders, the mother did not have regular prenatal check-ups during pregnancy or was informed of abnormalities during high-level ultrasounds, there were abnormalities in prenatal genetic ...

[Read More] Essential Ultrasound Checks for Infants: Timing and Importance


Baby Falls from Bed: Concerns About Swelling and Head Injuries

Baby fell off the bed and the swelling on the forehead is spreading? Hello, doctor. A few days ago, my baby accidentally fell off the adult bed (which is about 53 cm high). After a loud cry, I rushed in to check, and she was already lying down and crying. At that moment, I couldn...


Dr. Xiao Kaiwen Reply:
The swelling has spread across the entire forehead and feels soft and fluid-filled when pressed, which is likely a sign of an expanding hematoma. This phenomenon is unrelated to any fractures that could be seen on an X-ray. The radiation exposure from a CT scan is indeed signific...

[Read More] Baby Falls from Bed: Concerns About Swelling and Head Injuries


Understanding Delayed Bleeding Risks After a Child's Fall

Delayed bleeding after a fall in children? Hello, doctor. My son, who is one year and ten months old, fell from his high chair onto the tile floor last night. He fell from a height of about 120 centimeters and cried immediately after the fall. We took him to a nearby surgical cli...


Dr. Pei Rensheng Reply:
Hello! In children with mild blunt head injury, there are several factors that can affect prognosis: 1. The younger the child, the more severe the injury. 2. The higher the fall, the more severe the injury; statistically, falls from heights greater than 90 cm should be monitored,...

[Read More] Understanding Delayed Bleeding Risks After a Child's Fall


Understanding Bilateral Basal Ganglia Hyperintensity in Children: Symptoms and Prognosis

Pediatric brain Hello, doctor. My child underwent a brain ultrasound examination at birth, which showed bilateral basal ganglia hyperintensity. 1) What effects could this have? What symptoms might arise? What is the prognosis like? Until what age should we monitor this to feel ...


Dr. Xiao Kaiwen Reply:
1. This is a very common report for neonatal cranial ultrasound examinations, and the vast majority are insignificant and not abnormal. Follow-up should be conducted according to the recommendations of the pediatrician. 2 & 3. There should be no correlation; monitor the head ...

[Read More] Understanding Bilateral Basal Ganglia Hyperintensity in Children: Symptoms and Prognosis


Understanding Open Fontanelle at Age Two: What Parents Should Know

The anterior fontanelle has not closed by the age of two? It is common for some children to have an open anterior fontanelle at the age of two. The anterior fontanelle typically closes between 9 to 18 months, but in some cases, it may remain open until the child is 24 months or o...


Dr. Xiao Kaiwen Reply:
Aside from the head circumference not being excessively large (>97%), it is important to monitor whether the head circumference growth curve has remained stable without significant deviations. If both conditions are met and neurological development is normal, it may simply be ...

[Read More] Understanding Open Fontanelle at Age Two: What Parents Should Know


Understanding Infant Head Growth: When to Seek Further Evaluation

Infant Head Circumference Development Hello, my baby boy (5 months and 2 days old as of October 4) has been growing quite quickly. His weight is 7.3 kg, height is 65.1 cm, and head circumference is 44.2 cm. He is approaching the 97th percentile and will likely exceed it in a few ...


Dr. He Zongxian Reply:
Hello, from your description, it is evident that you are a caring and attentive mother, and your son's check-up results appear to be normal. According to the updated WHO growth charts for children, his height is between the 25th and 50th percentiles, his weight is also betwe...

[Read More] Understanding Infant Head Growth: When to Seek Further Evaluation


Understanding Large Head Circumference in Infants: When to Seek Further Evaluation

A five-month-old infant has an enlarged head circumference? My baby boy is five months and one day old, weighing 7.3 kg, with a height of 65.1 cm and a head circumference of 44.2 cm, which is approaching the upper limit of 44.8 cm (97th percentile). I expect that in a little over...


Dr. Pei Rensheng Reply:
Hello! The tissues within an infant's head (brain, cerebrospinal fluid, bones, blood, tumors) can all contribute to an increase in head circumference. Ultrasound can often detect most abnormalities. Be attentive to symptoms such as vomiting, headaches, and changes in conscio...

[Read More] Understanding Large Head Circumference in Infants: When to Seek Further Evaluation


Understanding Abnormal Brain Ultrasound Results in Infants: What to Expect

Abnormal findings in the brain ultrasound examination report? Hello, the baby was born at 37 weeks and 2 days, weighing 2782 grams. At birth, there was a blister on the head that burst. Subsequent brain ultrasound showed abnormal results, indicating "slightly bright perivent...


Dr. Xie Wanghu Reply:
Dear Mommy, 1. The periventricular white matter appears slightly bright, and typically a follow-up brain ultrasound is performed after three months. Does "the cyst bursting" refer to the rupture of an internal cyst? 2. Changing daily habits does not lead to the disap...

[Read More] Understanding Abnormal Brain Ultrasound Results in Infants: What to Expect


Understanding Developmental Delay in Infants: Signs and Solutions

Developmental delay Hello doctor, my baby is currently six months and eight days old. He grabs objects and puts them in his mouth, but his rolling movements are not very smooth. He can roll to his side but cannot roll onto his stomach. He can roll from his stomach to his back, bu...


Dr. Xiao Kaiwen Reply:
The definition of motor development delay in infants is typically recognized only when it becomes quite evident. For example, a 6-month-old baby should be able to support their head with their neck muscles; if they are unable to lift their head and chest off the surface while lyi...

[Read More] Understanding Developmental Delay in Infants: Signs and Solutions


Understanding Vision Issues in Infants: Common Concerns and Developmental Milestones

Follow-up on newborn vision issues? Hello, Doctor. I am the mother who just asked about my three-month-old baby watching television (https://adoctor.tw/article/171016). I just realized that the distance from our sofa to the TV is indeed less than two meters... However, based on y...


Dr. Xiao Kaiwen Reply:
The pathological mechanism of myopia occurs due to prolonged near work without rest, which can be caused by the use of digital devices at a distance that is accessible for children of this age. Infants and toddlers have specific cognitive developmental milestones that should be a...

[Read More] Understanding Vision Issues in Infants: Common Concerns and Developmental Milestones


Is Watching TV Harmful for My 3-Month-Old Baby's Development?

A three-month-old baby staring at the television? Hello, Doctor. My baby is over three months old, almost four months. Recently, we have been watching TV together, and we tend to focus on the screen. Since we are watching anime or action movies, there have been some bloody scenes...


Dr. Xiao Kaiwen Reply:
A baby who is over three months old has a vision range of only a little over one meter (the television at home should not be that close), and they have not yet developed depth perception or color vision. Additionally, their brain development and understanding are still quite limi...

[Read More] Is Watching TV Harmful for My 3-Month-Old Baby's Development?


Do Electromagnetic Waves from Devices Affect Baby's Brain Health?

Do electromagnetic waves from 3C products affect babies? Hello, doctor. I would like to ask if the electromagnetic waves from electronic devices such as smartphones and tablets can affect my baby's brain health and intellectual development. My baby is 2 months old, and famil...


Dr. Xiao Kaiwen Reply:
Currently, there are no definitive reports indicating that electromagnetic waves from electronic devices harm human health, so there is no need to worry excessively. However, it is still advisable to avoid prolonged and close-range use as a general principle.

[Read More] Do Electromagnetic Waves from Devices Affect Baby's Brain Health?


Understanding Infant Head Circumference: What Parents Should Know

Infant head circumference Hello doctor, my child had a larger head circumference during pregnancy, measuring 37.5 cm at birth. Both the brain ultrasounds performed at birth and at two months were normal, and the head circumference has continued to grow normally each month without...


Dr. Pei Rensheng Reply:
Hello! 1. At 6 months, a head circumference of 47 cm has exceeded the 95th percentile, indicating macrocephaly. 2. The causes of macrocephaly include: a. Familial macrocephaly, which is related to genetics b. Hydrocephalus c. Brain tumor d. Intracranial hemorrhage/...

[Read More] Understanding Infant Head Circumference: What Parents Should Know


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