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What Causes Reddish Discoloration Over Forehead In An Infant?

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Posted on Wed, 15 Apr 2015
Question: hello sir,
my son is almost 7 month old born with arthrogryposis affecting lower limbs..i was very curious to know something that doctors say is a hemangioma on his forhead between the eyebrows.doctors say that it is just another birth mark..i am attaching various pics taken between 5-7 months at various angels..there is a hard ridge if u can see near the red spot..its visible sometimes and sometimes its very less visible...it looks like that specific part appears elevated limited to that region..is it harmful? he is otherwise active..eat properly..plays..sleeps..goes for physiotherapy..i am asking this question out of curiosity...i havent seen a neurologist ..just his ped and othopedic..they think its okay..what are your views sir?pls give a detailed explanation if possible..thanks
doctor
Answered by Dr. Sudhir Kumar (43 minutes later)
Brief Answer:
Findings noted.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your son's medical details and also seen the photographs you have uploaded.

I agree that there is a reddish discolouration over forehead, which is most likely due to hemangioma. The swelling in that region could be related to minor deformity of the underlying skull bone.

As a neurologist, I would not worry about it, as there are no neurological symptoms.

In very small percentage of cases, there could be developmental anomalies of brain associated with this hemangioma. If the child develops any neurological symptoms such as fits, weakness of face, arm or leg, etc, then, I would advise an MRI scan of brain to be done. Otherwise, no action needs to be taken at present.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (3 minutes later)
sir we did a usg skull ..i have attached a report..please can u see that and telme if it helps clear any doubts u had while answering?or this report has no relation to what i asked?
doctor
Answered by Dr. Sudhir Kumar (5 minutes later)
Brief Answer:
Ultrasound is normal.

Detailed Answer:
Thank you for getting back.

Ultrasound of skull is normal, which is a good news. However, it picks up only major problems. MRI on the other hand, can detect problems that are 1-2 mm in size also.

So, if there are symptoms, we should get an MRI of brain done. Otherwise, we can wait and watch.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (10 minutes later)
thank you so much sir..u really gave me a XXXXXXX of relief...with arthrogryposis .i really didnt want any other problem..just a quick question..my son is otherwise very active plays with his hands and moves his legs...left leg is limited movement due to contracture which he is being treated for...but strength wise he is good...good tight grip..turns to his side..and also started sitting with slight support...so all these symptoms which i tell you shouldnt make me worry right? thanks once again..ur help is really appreciated..
doctor
Answered by Dr. Sudhir Kumar (1 minute later)
Brief Answer:
He is doing fine.

Detailed Answer:
Thank you for getting back.

I have noted his motor and cognitive skills. These are quite normal for children of his age. So, there is no need to worry at all.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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What Causes Reddish Discoloration Over Forehead In An Infant?

Brief Answer: Findings noted. Detailed Answer: Hi, Thank you for posting your query. I have noted your son's medical details and also seen the photographs you have uploaded. I agree that there is a reddish discolouration over forehead, which is most likely due to hemangioma. The swelling in that region could be related to minor deformity of the underlying skull bone. As a neurologist, I would not worry about it, as there are no neurological symptoms. In very small percentage of cases, there could be developmental anomalies of brain associated with this hemangioma. If the child develops any neurological symptoms such as fits, weakness of face, arm or leg, etc, then, I would advise an MRI scan of brain to be done. Otherwise, no action needs to be taken at present. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in