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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does A Child Sway Her Head Constantly?

Our nearly 6 month old, completely healthy and happy granddaughter sways her head constantly when on her tummy or is being held. It is not because she is sleepy. At first we thought it was because her head / neck muscles were not strong enough, or because she was swaying to the music. She is sitting up fine,alone, though she still has to concentrate on sitting up. Her head is still when she sits up, perhaps because she is concentrating on her balance. One family thought is that perhaps her eyes don t move, so she moves her head to see! The baby s mother will ask at the 6 month check up in a week +, but we are interested in what you have to say.
Tue, 14 Apr 2020
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Pediatrician 's  Response
Hi,

Is this associated with head tilting to one side, or any abnormal jerkiness (nystagmus) of eye balls? When these three features occur together (head shaking, head tilt, nystagmus), it indicates a condition called spasmus nutuns, a benign condition that usually resolves in few months. All features may not be there initially, and may come in succession. In such cases I used to take MRI brain to rule out any abnormality and reassure the parents. Your doctor will discuss with you on coming visit.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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Why Does A Child Sway Her Head Constantly?

Hi, Is this associated with head tilting to one side, or any abnormal jerkiness (nystagmus) of eye balls? When these three features occur together (head shaking, head tilt, nystagmus), it indicates a condition called spasmus nutuns, a benign condition that usually resolves in few months. All features may not be there initially, and may come in succession. In such cases I used to take MRI brain to rule out any abnormality and reassure the parents. Your doctor will discuss with you on coming visit. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician