HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Should I Be Concerned My 5 Month Old Daughter Has A Head Circumference 45cms?

default
Posted on 2 days ago
Question: Hi, My 5 month old daughter has a head circumference of 45 cms. It was 43 cms at 4 months. As per the growth chart, it is above 99th percentile. Should I be concerned? There are no other symptoms and she is reaching all her milestones. Her height is 68cms and weight is 7.9kgs. She is tall for her age. Genetically, my family has large heads but nothing abnormal
doctor
Answered by Dr. Arun (1 hour later)
Brief Answer:
Could be normal. Need regular followup measurements

Detailed Answer:
Hi
Thanks for writing to us.
I understand that your child's head circumference is above 99th percentile. But many times this can be normal if family members had large heads.
If the baby is otherwise normal, feeding well, gaining weight adequately, no need to worry.
But you still need to monitor the head circumference monthly. For next one month 1 cm increase would be normal and from 6 months to 1 year 0.5cm per month is normal.
If the increase is much higher, a basic ultrasound head may be needed to rule out issues like hydrocephalus.
I would also advice you to continue vitamin D drops till 1 year.
Keep following up with your pediatrician regularly during vaccine visits.
Regards
Dr XXXXXXX
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Arun

Pediatrician, Pulmonology

Practicing since :2003

Answered : 1966 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Pediatrician
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Should I Be Concerned My 5 Month Old Daughter Has A Head Circumference 45cms?

Brief Answer: Could be normal. Need regular followup measurements Detailed Answer: Hi Thanks for writing to us. I understand that your child's head circumference is above 99th percentile. But many times this can be normal if family members had large heads. If the baby is otherwise normal, feeding well, gaining weight adequately, no need to worry. But you still need to monitor the head circumference monthly. For next one month 1 cm increase would be normal and from 6 months to 1 year 0.5cm per month is normal. If the increase is much higher, a basic ultrasound head may be needed to rule out issues like hydrocephalus. I would also advice you to continue vitamin D drops till 1 year. Keep following up with your pediatrician regularly during vaccine visits. Regards Dr XXXXXXX