What should I do if the width of the baby's occipital fontanel is too wide?

Patient's question:

[Condition Description: The back of the baby's head is relatively wide. How long will it take to close? Treatment history and effectiveness: No treatment has been given. Desired help: Should a CT scan be done?]

Doctor's answer:

Hello, if a baby's fontanelle is too large, it usually refers to a condition where the baby's anterior fontanelle can reach a size of 4 to 5 centimeters shortly after birth. Under the guidance of a doctor, observation is generally sufficient, and special treatment is not required.
If a baby's fontanelle is excessively large and exceeds the standard size for the baby's age, it could indicate congenital hydrocephalus or congenital rickets. It is important to seek a authoritative hospital for a definitive diagnosis and treatment.
Babies with congenital hydrocephalus may have a smaller fontanelle at birth because their heads are compressed during passage through the birth canal. However, within a few days after birth, the anterior fontanelle gradually enlarges. In such cases, it is essential to visit a specialized hospital for a diagnosis and early treatment.
If, after birth, the baby not only has a large anterior fontanelle but also a large posterior fontanelle, with a wider midline suture, and if the anterior and posterior fontanelles are connected, it could be a sign of congenital rickets. You should be vigilant and seek an early diagnosis and timely treatment.

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