Fontanelles - excessively large
Alternate Names : Soft spot - large
Pictures & Images
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Skull of a newborn
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The "sutures" or anatomical lines where the bony plates of the skull join together can be easily felt in the newborn infant. The diamond shaped space on the top of the skull and the smaller space further to the back are often referred to as the "soft spot" in young infants.
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Fontanelles
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Fontanelles are the "soft spots" on an infant's head where the bony plates that make up the skull have not yet come together. It is normal for infants to have these "soft spots", which can be seen and felt on the top and back of the head. Fontanelles that are abnormally large may indicate a medical condition.
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Large fontanelles (lateral view)
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A wide fontanelle occurs when the fontanelle is larger in size than expected for the age of the baby. Slow or incomplete ossification of the skull bones is most often the cause of a wide fontanelle.
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Large fontanelles
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The bones of the skull are not joined together firmly at birth. The sutures gradually accumulate minerals and harden (this process is called ossification), firmly joining the skull bones together. In an infant, the spaces where sutures intersect but don't completely touch is called the "soft spot", a membrane covered area also called a fontanelle (fontanel or fonticulus). The fontanelles allow for growth of the skull during an infant's first year. When the spaces of the fontanelles are larger than normal underlying causes such as hydrocephalus may be suspected.
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