Case of the Month: December 2013

Submitted by Blake Kightlinger, MD, and Thomas J. Learch , MD.


  • AM is a 7 month old boy with history of prematurity and complex medical history who was noted to have a bulging anterior fontanelle.


  • Temp: 97.4 °F (36.3 °C)
  • BP: 100/70 mmHg
  • Heart Rate: 112
  • Respiratory Rate: 44
  • SpO2: 93 %


  • Awake
  • Fontanelle full but soft
  • Moving all extremities
  • HC-37cm


  • A head ultrasound was ordered for further work up.

For a full-size image, please click on Premature Baby .

True or False: US shows an enlarged extra axial space.

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