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Fontanelles - bulging

Alternative Names

Soft spot - bulging; Bulging fontanelles

Home Care

If the fontanelle returns to normal appearance when the child is calm and head-up, it is not a truly bulging fontanelle.

When to Contact a Medical Professional

Immediate, emergency care is needed for any infant who has a truly bulging fontanelle, especially if it occurs along with fever or excess drowsiness.

The health care provider perform a physical examination and ask questions about the child's medical history, such as:

  • Does the "soft spot" return to normal appearance when the infant is calm or head-up?
  • Does it bulge all the time or does it come and go?
  • When did you first notice this?
  • Which fontanelles bulge (top of the head, back of the head, or other)?
  • Are all the fontanelles bulging?
  • What other symptoms are present (such as fever, irritability, lethargy)?

Diagnostic tests that may be done are:

Review Date: 8/15/2007
Reviewed By: Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network.

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