Premature Anterior Fontanelle Closure in Infants

Evaluation and Management

• The American Academy of Pediatrics recommends measuring head circumference and plotting it on a growth chart to assess for microcephaly or abnormal head growth, as well as performing a complete neurological examination to assess for signs of increased intracranial pressure, in infants with premature anterior fontanelle closure 1
• The American College of Radiology suggests considering MRI if there are concerns about brain development or other neurological symptoms in infants with premature anterior fontanelle closure 2
• The American Academy of Pediatrics recommends implementing regular developmental surveillance and screening, as well as monitoring head growth and neurological development closely over time, in infants with premature anterior fontanelle closure 3
• The American Heart Association recommends considering early intervention services if developmental delays are identified in infants with premature anterior fontanelle closure 4