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Q: fluid filled bump
asked by: jessica78233 on May 20th, 2009
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At about 9 weeks old,we noticed a fluid filled area on the top of my daughter's head in the crown area (behind the anterior fontanel, all the way across, and to just above the posterior fontanel).It was very movable, like a wave.Her behavior is normal,doesn't seem to bother her at all.I should also note that there is a noticable flattening to the back of her head,up to the back of the bump.

We took her to her regular Dr,who looked at it and called another dr in to look at it too.Neither seemed sure what it was,their best guess was a build up of lymphatic fluid,so they decided to send her for an u/s the next day.

The u/s was inconclusive.They could see her brain was not affected and no inflammation,they couldn't see through the actual lump so no real answer there.

She is now 11 weeks old.The bump is more or less the same, maybe a little smaller and not quite as watery.She is scheduled to see a neurologist June 2.In the meantime,I'm worried and would appreciate any ideas?
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Dr. Joel W. Steelman , MD
replied on October 21st, 2009
Your description does sound like some type of edema (swelling) in the subcutaneous tissue in the scalp. The question is why is this present for so long? Her findings may be related to some type of lymphatic malformation. An infection is unlikely given the lack of progression.

Edema could occur with prolonged head positioning in one spot as a consideration.

An alternative radiologic imaging method that would see the soft tissue and vascular structures better would be an MRI scan which your doctor or the neurologist might consider.

I think your continued discussion of concerns with her doctor is the right course. I hope that you all find an answer.





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