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Child's Nervous System
Published in: Child's Nervous System 1/2005

01-01-2005 | Case Report

The persistence of an open anterior fontanel in a 4-year-old girl

Authors: Masahiko Uzura, Yu Furuya, Katsuya Akashi, Hiroaki Sekino

Published in: Child's Nervous System | Issue 1/2005

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Abstract

Case report

A 3-year-old girl was transferred to our hospital with a history of persistent open anterior fontanel. The patient was conscious and had no neurological deficits. Upon arrival, the patient appeared normal for her age and had no defects or anomalies other than the aforementioned lesion. The initial skull X-ray and CT were significant for a 20-mm open anterior fontanel. All other findings were normal.

Outcome

After a follow-up period of 1.5 years, the anterior fontanel was still open, with a slight decrease in size to 15 mm. Delayed closure of the anterior fontanel without intracranial hypertension is associated with various disorders. The pathogenesis of the current patient’s condition is unclear. Due to the patient’s normal appearance and stable neurological status, we will follow her conservatively for any changes in condition.
Literature
1.
Aisenson HR (1950) Closing of the anterior fontanelle. Pediatrics 6:223–225PubMed
2.
De Gaetano HM, De Gaetano JS (2002) Persistent open anterior fontanelle in a healthy 32-month-old boy. J Am Osteopath Assoc 102:500–501PubMed
3.
Duc G, Largo RH (1986) Anterior fontanel: size and closure in term and preterm infants. Pediatrics 78:904–908PubMed
4.
Popich GA, Smith DW (1972) Fontanels: range of normal size. J Pediatr 80:749–752PubMed
5.
Sundaresan M, Wright M, Price AB (1989) Anatomy and development of the fontanelle. Arch Dis Child 65:386–387
6.
Tan KL (1976) Wide sutures and large fontanels in the newborn. Am J Dis Child 130:904–908
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Tunnessen WW Jr (1990) Persistent open anterior fontanelle. JAMA 14:264
Metadata
Title
The persistence of an open anterior fontanel in a 4-year-old girl
Authors
Masahiko Uzura
Yu Furuya
Katsuya Akashi
Hiroaki Sekino
Publication date
01-01-2005
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 1/2005
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-004-0918-2

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