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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Was Born By C-sec. Head Size Went From 50 To 97 Percentile. Ear Lobes Having Slight Deviation. Suggestions?

My grand son was born 2-3 weeks early,wt 5 lbs 11oz ht 19". Csection due to contractions stopping, head engaged in cervix, presentation face up. Since birth he has had a lot of gas, has been breast fed with supplements of similac with iron. At his 2 month checkup his head size went from the 50th per entitle to 97 percentile, his Dr. Sent him for an ultrasound and the diagnosis of external hydrocephalus was given. What are the soft signs associated with this diagnosis. The pediatrician had some concerns about one of his ear lobes having a slight deviation and the placement of his eyes. She is referring him to a peds endo and has suggested seeing a geneticist. What could we be looking at with these signs and symptoms. He has a tendency to lean his head to the right and the neck muscles seem tight, the pediatrician gave my daughter exercises to do. He is fussy usually at night, fights sleep and does not sleep well in the crib, only for short periods of time15-30 min. Therefore, he sleeps in a rocker device quite a lot.



Tue, 11 Jun 2013
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Pediatrician 's  Response
Hi,

Thank you for your query.

Newborns take some time to settle down to the sleeping patterns of an adult. They will get up a number of times at night for feeds which is very normal. The doctors have picked up the hydrocephalus very early by following the head circumference and shall do a work up to know the cause for it; hence they are referring your grandson to a geneticist and endocrinologist for further workup. He may be keeping his head leaning to the right for either of the following two reasons:
1. The bulk of the weight due to the hydrocephalus.
2. Torticollis as you mention that the neck muscle is tight.

I hope I have answered your query to your satisfaction.

Wishing your grandson all the best.

Regards,

Rajiv K Khandelwal
http://goo.gl/SuCjl
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Child Was Born By C-sec. Head Size Went From 50 To 97 Percentile. Ear Lobes Having Slight Deviation. Suggestions?

Hi, Thank you for your query. Newborns take some time to settle down to the sleeping patterns of an adult. They will get up a number of times at night for feeds which is very normal. The doctors have picked up the hydrocephalus very early by following the head circumference and shall do a work up to know the cause for it; hence they are referring your grandson to a geneticist and endocrinologist for further workup. He may be keeping his head leaning to the right for either of the following two reasons: 1. The bulk of the weight due to the hydrocephalus. 2. Torticollis as you mention that the neck muscle is tight. I hope I have answered your query to your satisfaction. Wishing your grandson all the best. Regards, Rajiv K Khandelwal http://goo.gl/SuCjl