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Warning-sign checks

Increased head circumference: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services if your child has a seizure, becomes difficult to wake, has trouble breathing, suddenly becomes weak, or develops serious symptoms after a head injury.

    A child who is well, developing normally, and following a steady growth curve usually does not need emergency care solely because their head measurement is above average.

    And for anyone, someone who:

    • has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • has had a seizure that will not stop, or does not wake up afterwards
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent medical assessment today if rapid head growth occurs with:

    • Repeated vomiting or poor feeding
    • Unusual sleepiness or marked irritability
    • A tense or bulging soft spot while calm and upright
    • Eyes that appear driven downward
    • A new headache, balance problem, or vision change
    • Loss of a skill your child previously had

    And for anyone, someone who:

    • has a fever with a stiff neck, a rash that does not fade under pressure, or severe headache
    • is vomiting and cannot keep fluids down
    • has a new severe headache unlike any they have had before
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if your child's head seems large or is growing faster between health checks.

    An appointment is also appropriate if you have concerns about development, movement, learning, feeding, hearing, or vision.

    The trend should still be discussed during routine care.

Every sign above is quoted from the sofidex article on Increased head circumference. If you are not sure, err upward — it is always reasonable to be checked.