Congenital Hydrocephalus

Symptoms

The symptoms of congenital hydrocephalus usually are noticed at birth or within the first 9 months of life. Symptoms may not be as obvious in toddlers and older children. A baby may have:

  • A large head that may get bigger very quickly. Usually a baby with congenital hydrocephalus will have a noticeably bigger head than other babies the same age.
  • A slightly bulging soft spot (fontanelle) on top of the head that doesn't go away when the baby is held upright. A baby may also have larger-than-normal areas between the skull bones (sutures Click here to see an illustration.).
  • A shiny scalp, with prominent blood vessels.
  • A downward gaze and retracted eyelids, which reveal the whites of the eyes above the irises ("sun-setting of the eyes").

If pressure in the baby's head builds, symptoms will get worse and may include:

  • Irritability.
  • Excessive sleeping.
  • Poor appetite and frequent vomiting.
  • Inability to track you well with his or her eyes.
  • High-pitched crying.

Other types of hydrocephalus may produce the same or similar symptoms at any age.


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Author: Debby Golonka, MPH Last Updated: February 6, 2008
Medical Review: Michael J. Sexton, MD - Pediatrics
Mark G. Luciano, MD - Neurological Surgery

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