What Causes Flat Spot On Right Side Of Back Of Head In Infants?
Question: My 4 months old boy has torticollis, which leads to a flat spot at the right side of the back of his head. He is being treated for that but I have a question about head circumference measurment. He was born at 37+6 weeks with HC of 33 cm.
at one month old it was 36.8 and at 2 months old it was 38.7.
Since than the flat spot started and it is my understanding that because of that, one must seek the largest possible circumference by moving the tape around his head, because he has an "abnormal" head shape cos of the torticollis. Before his 4 months appointment I did just that and got a measurment of 41.5 cm. but the nurse just didn't considered the flat spot and at first said that his head didn't grow at all since 2 months old. I asked her to measure again and than she said it is 41.3.
Am I wrong by thinking that one must move the tape around the head 3 times in order to find the largest possible measurment?
Thank you
at one month old it was 36.8 and at 2 months old it was 38.7.
Since than the flat spot started and it is my understanding that because of that, one must seek the largest possible circumference by moving the tape around his head, because he has an "abnormal" head shape cos of the torticollis. Before his 4 months appointment I did just that and got a measurment of 41.5 cm. but the nurse just didn't considered the flat spot and at first said that his head didn't grow at all since 2 months old. I asked her to measure again and than she said it is 41.3.
Am I wrong by thinking that one must move the tape around the head 3 times in order to find the largest possible measurment?
Thank you
Brief Answer:
You are correct! The largest circumference is what is recorded!
Detailed Answer:
Hi and thanks for this query.
I am so sorry to hear about what your child is experiencing. In measuring head circumference, the right thing to do is to measure and report the largest. You were very correct and congratulations on that smart catch.
I wish you and your son well. Thanks for using our services and do feel free to ask for more information and clarifications if need be.
You are correct! The largest circumference is what is recorded!
Detailed Answer:
Hi and thanks for this query.
I am so sorry to hear about what your child is experiencing. In measuring head circumference, the right thing to do is to measure and report the largest. You were very correct and congratulations on that smart catch.
I wish you and your son well. Thanks for using our services and do feel free to ask for more information and clarifications if need be.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you! It is just very frustrating not getting the best care from your provider. I know that in our case it doesnt realy matter if the nurse got for example 41 and i got 41.5, cos they are both within the normal range, but it does matter if a child isnt in the normal range... His forhead is very prominent because of the flot spot at the right back of his head, so i take his forhead into acount while measuring, and I measure 3 times in order to get the largest measurment. Its a shame that a mother knows better how to preform this measurment, than the nurse. Also I wanted to ask, does it matter if a child is in the 35 percentile versus 50 percentile?
Thank you again
Thank you again
Brief Answer:
35th and 50th percentile are all normal!
Detailed Answer:
Hi,
am sorry for what you experienced. Thanks for being attentive. Children who fall between 10 and 90th percentile are considered normal. Those who fall out of this range are those we are concerned about. However, monitoring the curve of a child is important. For example, if a child jumps from 35 to 65percentile or the other way around, though they are all in the normal range, answers a to why must be sought.
I hope this answers your question. I wish you well.
35th and 50th percentile are all normal!
Detailed Answer:
Hi,
am sorry for what you experienced. Thanks for being attentive. Children who fall between 10 and 90th percentile are considered normal. Those who fall out of this range are those we are concerned about. However, monitoring the curve of a child is important. For example, if a child jumps from 35 to 65percentile or the other way around, though they are all in the normal range, answers a to why must be sought.
I hope this answers your question. I wish you well.
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. Chakravarthy Mazumdar