Fifteen-minute consultation on the infant with a large head

Seal, Arnab

doi:10.1136/archdischild-2013-303910

Cited by 7 publications

(2 citation statements)

References 3 publications

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“…An infant with a large head is a common and often benign presentation in the absence of other concerning signs. However, infants with signs of raised intracranial pressure or hydrocephalus, or head circumference rapidly crossing centiles upwards require urgent brain imaging and expert assessment (Seal, 2013).…”

Section: Headmentioning

confidence: 99%

The 6 to 8-week check

Jones

2020

InnovAiT: Education and inspiration for general practice

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The ‘6-week check’ is a head-to-toe assessment that forms part of the newborn and infant physical examination (NIPE). This NHS screening programme comprises two stages: the neonatal component takes place within 72 hours of birth, usually before discharge home, and the infant examination is performed between 6 and 8 weeks of age, typically in the community by the GP. The NIPE aims to detect abnormalities of the eyes, heart, hips and testes, and to ensure appropriate follow up of positive findings. It also presents an opportunity for care providers to monitor a child’s general health and development, and to provide information, health promotion, and support to parents and carers. This article seeks to describe in more detail the background and purpose of the infant check, to provide a systematic approach for performing the examination with a focus on four key conditions and to recommend referral pathways for positive findings.

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Section: Headmentioning

confidence: 99%

The 6 to 8-week check

Jones

2020

InnovAiT: Education and inspiration for general practice

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“…Large head size entails as a common entity in Pediatrics. It is defined as occipitofrontal circumference (OFC) of more than 99.6th centile for age and gender [ 2 ]. Usually, the associated developmental disorder or raised intracranial pressure (ICP) signs are pressing considerations for urgent investigations [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Large Head in Asymptomatic Child: A Subtle Presentation of Connective Tissue Disorder With Spontaneous Significant Intracerebral Bleed

Alasmari¹,

Saeed²,

Alsumaili³

et al. 2022

Cureus

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Three years old boy with reassuring development had presented to the Pediatric Neurology clinic with a referral due to a large head. Occipito-frontal circumference was more than 97 th centile with an unremarkable neurological examination. MRI brain exhibited an acute on chronic large right frontoparietal subdural hematoma with prominent mass effect. Consequentially, the hematoma was evacuated by the neurosurgeon. Postoperative recovery stayed satisfactory. Hematology workup showed normal coagulation and clotting factors levels. Whole exome sequencing (WES) study revealed heterozygous variant c.5187G>A p.(Trp1729*) in gene FBN1 -pathogenic for Marfan syndrome. However, this variant has not yet been reported in association with cerebral arteritis/intracerebral bleed. On follow-up, the child remained asymptomatic clinically with static head size. This drags us towards the fact that significant yet asymptomatic spontaneous intracerebral hemorrhage can be an infrequent presentation in pediatrics in regard to connective tissue disorders. Moreover, children with Marfan syndrome having variant c.5187G>A p. (Trp1729*) of gene FBN1 can have a rare presentation with cerebral arteritis or intracerebral bleed.

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The child with the large head

Nguyen

Thomson

2015

Paediatrics and Child Health

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Fifteen-minute consultation on the infant with a large head

Cited by 7 publications

References 3 publications

The 6 to 8-week check

The 6 to 8-week check

Large Head in Asymptomatic Child: A Subtle Presentation of Connective Tissue Disorder With Spontaneous Significant Intracerebral Bleed

The child with the large head

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