Article |

Radiological Case of the Month

David C. Hefelfinger, MD; Lionel W. Young, MD
Am J Dis Child. 1984;138(2):197-198. doi:10.1001/archpedi.1984.02140400079019.
Text Size: A A A
Published online

A 22-month-old male infant had been followed up from birth because of "macrocrania," which had been associated with consistently normal neurologic examination results and normal growth and development.

The infant was born to a 30-year-old primigravida who experienced a normal pregnancy, labor, and delivery. Delivery was vaginal by "elective" low-outlet forceps. Apgar scores were 9 and 9 at one and five minutes, respectively. The results of his examination at birth were normal, with a head circumference of 35.5 cm (at the 50th percentile), weight of 3.9 kg (at the 75th percentile), and height of 50 cm (at the 50th percentile). There had been no history of trauma.

At 2 weeks of age, the anterior fontanelle was soft, and the infant's development and neurologic examination findings were normal, but the head circumference was abnormal (37.5 cm) and continued to progress to greater than 2 SDs above normal at 6 months of


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.