Brain, Pediatrics FAQ - Page 6

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Understanding Thin Corpus Callosum in Newborn Brain Ultrasound

Neonatal brain ultrasound - thinner corpus callosum? Hello doctor, my daughter underwent a cranial ultrasound examination shortly after birth. Yesterday, we received a notification stating that her corpus callosum is thinner than normal and that it will thicken as she gains weigh...


Dr. He Shenglong Reply:
Hello: If there are no specific symptoms or diseases, a brain ultrasound examination performed at birth should be considered an out-of-pocket screening item. Of course, the corpus callosum thickens with weight gain. Currently, there are claims that it is thinner, but I am not cle...

[Read More] Understanding Thin Corpus Callosum in Newborn Brain Ultrasound


Understanding Pediatric Neurological Concerns: When to Seek Help

Many questions? My eldest child is 8 years old and has Asperger's syndrome. He was delivered via vacuum extraction at 42 weeks. During his crawling phase, he exhibited head-banging behavior. Before he turned one, he experienced tremors in his hands while breastfeeding, where...


Dr. Xie Degui Reply:
1. It is recommended to undergo an early developmental delay assessment, which can be done at our hospital's pediatric neurology clinic with Dr. Bao-Ling Chang on Thursday afternoons. 2. Based on the described symptoms, they appear to be indicative of epilepsy. An evaluatio...

[Read More] Understanding Pediatric Neurological Concerns: When to Seek Help


Understanding Neonatal Brain Hemorrhage: Causes, Risks, and Outcomes

Neonatal intracranial hemorrhage? My younger brother was born 3 days ago and was admitted to the neonatal intensive care unit (NICU) on the day of his birth because he seemed unable to breathe on his own. He appeared healthy at birth, and the doctors did not mention any issues. T...


Dr. He Shenglong Reply:
Hello: If a newborn experiences difficulty breathing, along with a bluish discoloration of the face and lips, or a high-pitched cry, one possible cause could be intracranial hemorrhage. To understand why intracranial hemorrhage occurs, it is best to consult your attending physici...

[Read More] Understanding Neonatal Brain Hemorrhage: Causes, Risks, and Outcomes


Concerns About Developmental Delays in Infants: What Parents Should Know

Is there a problem with developmental delay? Hello Doctor: My baby was born on December 12, 1996, and is now 10 months old. I am a bit concerned that she may be experiencing developmental delays. At 7 months, she started teething (which gave me some relief). At 8 months, she lear...


Dr. Xiao Kaiwen Reply:
The development of gross motor skills typically includes rolling over at 6 months, bringing objects to the mouth, sitting steadily by 7 to 8 months, and crawling by 8 to 9 months (some may skip crawling and go directly to standing). Your child seems to be slightly delayed (but no...

[Read More] Concerns About Developmental Delays in Infants: What Parents Should Know


Understanding Infant Brain Ultrasound Results: What Parents Should Know

Inquiry about infant brain ultrasound issues? Hello! My daughter was born on August 16 last year. Initially, a cranial ultrasound was performed, which revealed a cyst. After that, she was checked every three months: at three months, it was still present; at six months, it was the...


Dr. Pei Rensheng Reply:
Anxious Father: Hello, Brain cyst types: arachnoid, colloid, dermoid, epidermoid, and pineal cysts… 1. Arachnoid Cyst: More common in infants and adolescents. Observation is the primary approach; surgery is required if the cyst enlarges or causes symptoms. 2. Colloid Cyst: Often ...

[Read More] Understanding Infant Brain Ultrasound Results: What Parents Should Know


Understanding Absence Seizures in Infants: What Parents Need to Know

Pediatric Absence Seizures My son is currently two and a half months old and is cared for by a nanny during the day, while we take him home at night. Last week, the nanny nervously mentioned that she observed my son staring blankly for about a minute, with his eyes fixed straight...


Dr. Xiao Kaiwen Reply:
Generalized absence seizures are more commonly seen in children or adolescents, and this type of epilepsy is rare in infants (infantile spasms often present with body stiffness or nodding-like movements). It is recommended to continue observation; if they occur frequently, a cons...

[Read More] Understanding Absence Seizures in Infants: What Parents Need to Know


Understanding Your 3-Month-Old Baby's Unusual Movements and Symptoms

3-month-old infant Hello, Doctor: I would like to ask why my 3-month and 19-day-old baby is experiencing episodes of stiffening their arms and legs, with a flushed face and a blank stare. This has happened three times today, all occurring in the afternoon (the previous three days...


Dr. Xiao Kaiwen Reply:
It appears that the child may be experiencing seizures, which can commonly be caused by structural abnormalities of the brain, encephalitis, intracranial hemorrhage, hypoglycemia, electrolyte imbalances, epilepsy, or some rare metabolic disorders. The necessary examinations may i...

[Read More] Understanding Your 3-Month-Old Baby's Unusual Movements and Symptoms


Understanding Seizures in Young Children: Causes and Concerns

Child experiencing muscle cramps? Hello, I would like to ask about my son who is two years and five months old. He was hospitalized for febrile seizures in September of last year and again in March of this year. The first incident occurred at home while he was using the bathroom;...


Dr. Xiao Kaiwen Reply:
Febrile seizures typically show normal electroencephalogram (EEG) results. If seizures persist beyond the age of 5, occur without fever, or if prolonged EEG monitoring reveals abnormalities, it may indicate that the condition is not a simple febrile seizure. After ruling out stru...

[Read More] Understanding Seizures in Young Children: Causes and Concerns


Understanding Toddler Tremors and Weakness: When to Seek Help

The child exhibits weakness in the legs and occasional tremors in the hands? Hello, I would like to ask about my child who is one year and three months old. Since he was five or six months old, I have noticed that his hands occasionally tremble, usually one hand at a time. Each t...


Dr. Xiao Kaiwen Reply:
At one year and three months old, the child can only stand while holding onto objects and cannot stand for long periods. They require significant strength in their hands to pull themselves up, which indicates abnormal motor development. It is important to assess whether there are...

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Addressing Milk Intake and Head Movement in Infants: Pediatric Insights

Milk consumption issues? Dear Dr. Pei, I would like to ask you two questions: (1) My baby is currently over two months old. During the first and second months, he primarily focused on sleeping, often waking up every three hours or less, and immediately showing signs of hunger ...


Dr. Pei Rensheng Reply:
Hello: (1) In the first and second months, feeding is prioritized over sleeping; in the third month, sleeping takes precedence over feeding. This is a common situation for every infant. (2) The standard feeding amount is 100-150 cc per kilogram of body weight per day. If there is...

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Addressing Speech Delays in Toddlers: When to Seek Help

Incorrect pronunciation? Our child is already 2 years old this year, but he has noticeable pronunciation issues. We had a brain ultrasound done in October, and the doctor said there were no problems and that he would improve as he gets older, but we are still very worried. He onl...


Dr. Xiao Kaiwen Reply:
Before the age of 3 to 4 years, the development of the articulatory organs in young children is not fully matured, and their language proficiency is insufficient, often resulting in inaccurate pronunciation. However, as they grow older, their language development becomes more ref...

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Understanding Pediatric Bloating: Causes, Prevention, and Speech Concerns

Bloating Hello, doctor: (1) My son has been experiencing bloating for more than a week, and applying anti-bloating cream hasn't helped much. Could this indicate indigestion if it continues like this? How can we prevent it in the future? (2) My child is currently 2 years and ...


Dr. Pei Rensheng Reply:
Dear Xiao Min, Hello! (1) The condition of abdominal bloating is particularly noticeable in children after they eat, primarily due to the thinner abdominal wall muscles. Generally, this improves after the age of 5. However, one should be cautious of the following conditions: -...

[Read More] Understanding Pediatric Bloating: Causes, Prevention, and Speech Concerns


Should My Child Switch Epilepsy Medications Based on EEG Results?

Please inquire about epilepsy medications? My daughter is 3 and a half years old and has been taking Lamotrigine for epilepsy for six months. Recently, we conducted a follow-up EEG after six months of medication and found that her entire brain starts to discharge as soon as she f...


Dr. Pei Rensheng Reply:
Hello! Although my specialty is pediatric gastroenterology and pulmonology, I will do my best to find answers for you. I hope this information is helpful! A. Tegretol (Carbamazepine) Indications: Generalized tonic-clonic seizures, complex partial seizures, mixed seizures, epil...

[Read More] Should My Child Switch Epilepsy Medications Based on EEG Results?


Growth Hormone Treatment for Short Stature: Is It Worth the Risks?

Administering growth hormone Hello Dr. Wang, My daughter is currently ten years and nine months old. She started her menstrual cycle this month, and her height is 148 cm, with a bone age of thirteen years. My height is 162 cm, and my husband's height is 172 cm. The doctor p...


Dr. Wang Jiayi Reply:
Dear Concerned Mother, The desire for children to succeed is a sentiment shared by all parents. For those with shorter children, concerns about their child's growth may arise. Height is a subjective measure influenced by psychological factors, making it difficult to establi...

[Read More] Growth Hormone Treatment for Short Stature: Is It Worth the Risks?


Understanding Asymmetrical Ventricles in Newborn Brain Ultrasound

Abnormal findings in neonatal cranial ultrasound examination? Hello, my baby was born on April 19, 2007. We had a self-paid neonatal brain ultrasound examination, and when we reviewed the report on May 19, the doctor informed us of an abnormality—there is asymmetry in the size of...


Dr. Pei Rensheng Reply:
Hello, (1) Asymmetry in the size of the lateral ventricles may indicate a non-technical issue (not being cut in the same plane). If the size difference is not significant, it could be due to unknown reasons, which is often benign. However, if the difference is pronounced or inc...

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Understanding Frequent Falls in Children: When to Seek Medical Advice

Children frequently fall? Hello Doctor: My child is almost four years old, and I have noticed that his right leg is significantly weaker. In mid-April, he had acute pneumonia and was hospitalized for eight days. During those eight days, he mentioned that his leg felt weak, but wh...


Dr. Wang Jiayi Reply:
Hello, Xiao Pei: I apologize for the delayed response due to personal leave, and I sincerely regret taking up your valuable time! Some viral infections can affect the nervous system and may cause muscle soreness and discomfort, but recovery typically occurs after some time. Your ...

[Read More] Understanding Frequent Falls in Children: When to Seek Medical Advice


Nutrition Tips for Your 11-Month-Old: Addressing Weight and Growth Concerns

Abbott Similac Hello Doctor: My baby boy is currently over 11 months old and weighs 9 kilograms. He should be nearly 100 centimeters tall, and he is considered a tall and slim baby. His appetite is quite good, but he doesn't seem to gain much weight. I've heard that doc...


Dr. Pei Rensheng Reply:
Hello: (1) The average weight for a baby approaching one year old is about 10 kilograms and the average height is around 75 centimeters. Is it possible that your baby's height is not close to 100 centimeters? Could there have been a measurement error? (2) Abbott Similac Adva...

[Read More] Nutrition Tips for Your 11-Month-Old: Addressing Weight and Growth Concerns


Pediatric Medication Safety and Newborn Screening: What Parents Should Know

Medication consultation & neonatal ultrasound examination, hearing screening? Hello Doctor: My son is currently three months old (born on January 31). Last week, he had a severe cold with nasal congestion, so we took him to a nearby pediatric clinic for treatment. The doctor ...


Dr. Pei Rensheng Reply:
Hello! For a three-month-old baby weighing 6 kilograms, based on the principle of 40 kilograms per dose, the dosage should be approximately 1/6 to 1/7. Therefore, the dosages for Gascon (for gas relief) and Periactin (for appetite stimulation and treating runny nose) are appropri...

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Metabolic Issues in Infants: A Case Study of Severe Brain Damage

Infants with metabolic disorders? A friend sent me an email about a situation involving a friend of theirs. The content is as follows: Their son, Lu Jingcheng (8 months old), is currently hospitalized at Cheng Kung University Hospital. The doctors performed an MRI, EEG, and crani...


Dr. Wang Jiayi Reply:
Cheng Kung University Hospital is a large medical center, and it is advisable to communicate more with the physicians there or request referrals to other medical centers. Hualien Hospital's pediatrics department cares about you!

[Read More] Metabolic Issues in Infants: A Case Study of Severe Brain Damage


Understanding Growth and Development Issues in Infants: Key Concerns

Growth and development issues? Hello Doctor: My baby is almost one year old now (height 76 cm, weight about 10 kg, primarily consuming milk and breast milk, with a little bit of rice in between). When my baby was 7 days old, he had severe jaundice (around 23), and an X-ray of his...


Dr. Wang Jiayi Reply:
1. In addition to height, weight, and head circumference, the development of a child around 9 to 12 months should also consider whether they can sit well, use their fingers to pick up objects, place small items into a cup, wave goodbye, drink from a cup, call out "dad" ...

[Read More] Understanding Growth and Development Issues in Infants: Key Concerns


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