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...[Read More] Understanding Asymmetrical Ventricles in Newborn Brain Ultrasound
Impact of Early Fontanel Closure on Child Development and Intelligence
Craniosynostosis Is early closure of the fontanelle associated with intellectual development? My son was born with his anterior fontanelle nearly closed and his posterior fontanelle already closed. I am wondering if there are cases like this and what their development is like. My...
Dr. Chen Rongtai Reply:
The letter mentions concerns regarding fontanelle closure. Generally, the anterior fontanelle should close between 10 to 18 months of age, while the posterior fontanelle typically closes around 6 to 8 weeks. If an infant's fontanelle closes too early, the gaps between the cr...[Read More] Impact of Early Fontanel Closure on Child Development and Intelligence
Understanding Decreased Urine Output in a Five-Month-Old Baby
The urine output of a five-month-old baby has decreased? Doctor, is this related to the kidneys? 1. The baby is almost six months old. 2. There was a diagnosis of hydronephrosis at birth, but during the three-month check-up, the doctor said it had not increased in size and that w...
Dr. Pei Rensheng Reply:
Hello: According to statistics, 20% of newborns have varying degrees of hydronephrosis. If it is mild hydronephrosis, ultrasound examinations can be performed every three to six months. The normal urine output for children is 1-4 cc/kg/hr, and it is advisable to observe for a per...[Read More] Understanding Decreased Urine Output in a Five-Month-Old Baby
Understanding Head Bumps in Infants: When to Seek Medical Attention
A bump on the head? Hello Dr. Chang: A few days ago, my child (under 5 months old) accidentally fell from the bed while sleeping at night. He cried for a bit but then continued to sleep. It wasn't until the next day that I noticed a large bruise and swelling on the right sid...
Dr. Zhang Wenwang Reply:
The key observation points are whether the patient has bulging fontanelles, persistent headaches, dizziness, vomiting, neck stiffness, and the presence of lethargy, paralysis, or seizures in certain parts of the body. If these symptoms are observed, the patient should be taken to...[Read More] Understanding Head Bumps in Infants: When to Seek Medical Attention
Understanding Soft Fontanelles in Infants: When to Seek Pediatric Care
Fontanelle Dr. Chang: My son is currently 13 months old. Why is his fontanelle still very soft? When I look at him from the front, the fontanelle appears diamond-shaped and the pulsation is very noticeable. Why is this happening? Which pediatric specialist should I consult? Thank...
Dr. Zhang Guozhen Reply:
Dear Dr. Zhang Guozhen, Regarding the anterior fontanelle, it typically remains open until around 16 months of age, which is why you may observe noticeable up-and-down movements; this is considered normal. The key point is that if the child's development is delayed (for ex...[Read More] Understanding Soft Fontanelles in Infants: When to Seek Pediatric Care
Is a Sunken Fontanelle Normal After Four Days Without Bowel Movement?
Is it possible to have a sunken fontanelle after not having a bowel movement for four days? My son just turned four weeks old and has been exclusively breastfed, refusing to drink water. He has experienced some constipation in the past few days, and today I noticed that his anter...
Dr. Zhang Peixin Reply:
Hello: 1. Constipation is not related to the depression of the fontanelle. 2. It is normal for breastfed infants to have a decrease in the frequency and volume of bowel movements as they grow older; as long as there is no difficulty in passing stools, it is not a concern. Sincere...[Read More] Is a Sunken Fontanelle Normal After Four Days Without Bowel Movement?
Understanding Early Closure of Fontanelles in Infants: Key Concerns
Premature closure of the fontanelle? Hello Doctor: My baby turned 4 months old on August 4th. Isn't it true that newborns typically have open fontanelles at birth? However, it seems that my baby's anterior fontanelle was closed at birth, or perhaps I just didn't no...
Dr. Cai Zhengxian Reply:
Hello, Shan Shan's mother: The soft spot on the top of the baby's head that feels like there are no bones is called a fontanelle. There are two fontanelles that can be felt along the midline of the skull, which provide flexibility and space between the bones of the skul...[Read More] Understanding Early Closure of Fontanelles in Infants: Key Concerns
Concerns About Pressing a Newborn's Fontanel: What Parents Should Know
Pressing on the baby's fontanelle? Today, while holding my newborn brother, I noticed the soft spot on his head pulsing slightly. I couldn't help but touch it. Suddenly, my older son, who was jumping on the bed, lost his balance and bumped into my hand that was touching...
Dr. Cai Zhengxian Reply:
Hello Mr. Yang: It is indeed concerning whether the baby's skull may have been injured. Generally speaking, in the emergency department, we encounter cases of infant fontanelle injuries typically caused by sharp objects, such as being poked by a pen. A finger, being a blunt ...[Read More] Concerns About Pressing a Newborn's Fontanel: What Parents Should Know
Understanding Head Injuries in Infants: What Parents Need to Know
Bruise Hello: On June 18th, I took my baby to the hospital for an outpatient visit. During an X-ray, the nursing staff accidentally allowed him to fall from a bed about one meter high. When discovered, he was face down but conscious. An X-ray was performed at that time, and there...
Dr. Cai Zhengxian Reply:
Dear Mother, I understand that such an incident can indeed be concerning. You may be wondering if there will be any long-term effects from the head injury. Generally speaking, infants have softer skulls, and their fontanelles have not fully closed yet. When a head injury occurs,...[Read More] Understanding Head Injuries in Infants: What Parents Need to Know
Understanding Milk Aversion and Fontanelle Concerns in Infants
Issues related to milk aversion and fontanelle? Hello Doctor: My daughter has just turned seven months old, and recently, over the past week or two, she has been very averse to milk. Especially in the last few days, whenever I try to feed her milk, she pretends to gag as soon as ...
Dr. Cai Zhengxian Reply:
Dear Mother Qi, Greetings from Dr. Tsai Cheng-Hsien, attending physician of pediatrics at Tainan City Hospital. It is common for babies aged 5 to 7 months to refuse milk or breast milk while showing a preference for foods with different flavors or textures. This phenomenon is re...[Read More] Understanding Milk Aversion and Fontanelle Concerns in Infants
Does Hitting the Fontanelle Affect My Baby's Cognitive Development?
Fontanelle issues Hello Dr. Chen: My child is currently 7 months old and is in a very active phase. He often bumps his head during rolling over. Will this affect his cognitive development? Thank you for taking the time to respond!
Dr. Chen Rongtai Reply:
The anterior fontanelle is a diamond-shaped space located between the two parietal bones and the frontal bone, containing important components of the central nervous system. It generally begins to close gradually between 12 to 18 months of age in infants. Prior to this closure, i...[Read More] Does Hitting the Fontanelle Affect My Baby's Cognitive Development?
Concerns About Large Head Size in Infants: What Parents Should Know
The issue of an infant having an enlarged head? Hello Dr. Chen, When my child received the four-in-one vaccine, the doctor mentioned that his head circumference is larger than normal. If it continues to be above the normal range, an ultrasound examination will be necessary. Cou...
Dr. Chen Qianyi Reply:
If an infant experiences a rapid increase in head circumference after birth, it is essential to consider the possibility of hydrocephalus or other intracranial tumors. In such cases, in addition to an enlarged head, the fontanelle may also be larger, and the eyes may appear sunke...[Read More] Concerns About Large Head Size in Infants: What Parents Should Know
Understanding Fontanelles: Safety Concerns and Infant Behavior
Regarding fontanelles? Is it harmful for adults to touch the fontanelle of a 5-month-old infant? Could a bad temper and nighttime crying be related to this?
Dr. Huang Zheming Reply:
There are two fontanelles: the anterior fontanelle typically closes between 9 to 12 months, while the posterior fontanelle closes between 2 to 4 months. A five-month-old child should still have open fontanelles that can be palpated. In cases of hypothyroidism, the anterior fontan...[Read More] Understanding Fontanelles: Safety Concerns and Infant Behavior