title: Fifteen-minute consultation on the infant with a large head.
abstract: An infant with a large head (2.5 SDs above normal for weight and gender or above 99.6th centile for age) is a common clinical presentation. Usually, it is due to benign isolated macrocephaly or familial macrocephaly (FM) where some close family members are similarly affected(1); neither condition requires any further intervention. However, there are a few important underlying causes the clinician needs to actively consider and investigate when indicated before reassuring parents. These considerations include whether there is any associated developmental disorder or suggestion of a syndromic association or evidence of raised intracranial pressure (ICP).
authors.affiliation: Correspondence to Dr Arnab Seal, Leeds Community Healthcare NHS Trust and Leeds Teaching Hospitals NHS Trust, Children's Services, Wortley Beck Health Centre, Ring Road, Lower Wortley, Leeds, West Yorkshire LS12 5SG, UK. arnab.seal@nhs.net
authors.forename: Arnab
authors.initials: A
authors.lastname: Seal
mesh_terms: D002508:Cephalometry / Q000592:standards*; D005260:Female; D006257:Head / Q000254:growth & development*; D006801:Humans; D007223:Infant; D008297:Male; D010372:Pediatrics / Q000592:standards*; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation / Q000592:standards*
keywords: General Paediatrics; Growth; Paediatric Practice