Patient's question:
The baby was born via cesarean section at 37 weeks and 4 days, breech position, with the umbilical cord wrapped around the neck once. There was no history of asphyxiation afterward. The baby's head circumference is 45.5 cm. The baby can laugh, laugh loudly, recognize mom and grandpa, stand for a while while holding the armpits, and make babbling sounds. The baby has not yet called "mom." What's going on?Doctor's answer:
Hello. The main feature of congenital hydrocephalus is the progressive increase in head circumference. The head circumference often begins to increase within weeks or months after birth. Some cases are significantly larger than normal at birth. After the head circumference increases, the face appears relatively small, the forehead protrudes forward, the scalp becomes tight and thin, and the eyes may turn, cross, or tremble. The fontanelles (including the anterior and posterior fontanelles) become enlarged, and the cranial sutures separate. In severe cases, there may be frequent vomiting, restlessness, and poor appetite. In the early stages, there is no impact on intelligence. In late-stage cases, symptoms may include a dull expression, intellectual disability, vision loss, and limb paralysis. In the end, most patients die due to malnutrition, bedsores, respiratory infections, and other complications. In a few cases, the condition may resolve on its own or stop progressing. Congenital hydrocephalus caused by obstruction of the cerebrospinal fluid circulation can be treated surgically. Most children are between 1 and