Abstract AN ANTERIOR fontanel bone is an ectopic ossification center.1 It is a rare condition which has been mentioned briefly in radiology textbooks2 and has been described as occurring in one pair of siblings.3 The purpose of this report is to present another case of an anterior fontanel bone. Report of a Case A 3½-month-old white male infant was admitted to the 363rd Tactical Air Command Hospital because an enlarged head had been noted in the well-baby clinic.The child was the product of a full-term uncomplicated pregnancy. Findings of physical examination at birth were normal and he was discharged from the nursery on the fifth day of life with head and chest circumferences of 33 and 27.1 cm respectively.System review revealed no history of head injury, convulsions, or fever.Physical examination revealed a well-developed well-nourished child with a symmetrically enlarged head measuring 43.3 cm. The chest References 1. Brown, W.H.: Anterior Fontanel Bone: Report of a Case , J Pediat 58:800-802 ( (June) ) 1961.Crossref 2. Caffey, J.: Pediatric X-Ray Diagnosis , ed 4, Chicago: Year Book Medical Publishers, Inc., 1961, p 38. 3. Comment.—After Captain Levine's paper was accepted for publication, our attention was called to another article on this subject (Gridany, B. R., and Blank, E., Amer J Roentgen 95:148, 1965). In view of the 4. Boroian, T.V.; Attwood, C.R.; and Jaconette, J.R.: Anterior Fontanel Bone in Siblings , Amer J Dis Child 108:625-626 ( (Dec) ) 1964. 5. Nelson, W.E.: Textbook of Pediatrics , ed 7, Philadelphia: W. B. Saunders Co., 1959, p 31. 6. fact that Girdany and Blank concluded that anterior fontanel bones do not interfere with skull growth, the careful measurements recorded in this paper have an added significance.—Ed.
American Journal of Diseases of Children – American Medical Association
Published: Feb 1, 1966