Ankyra Medical Journal (AnkMJ), formerly known as the Journal of Translational and Practical Medicine, regularly publishes international quality issues in the field of Medicine in the light of current information.

EndNote Style
Original Article
The relationship between anterior fontanelle and head circumference in term newborns
Aims: At birth, infants have membranous cavities called fontanelles because the angles of the skull bones have not yet formed. Its size is generally accepted as an indicator of cranial development and bone maturation. Head circumference measurement is an important marker for predicting brain development, especially in early childhood.
Methods: Patients followed up in the pediatric outpatient clinic of Kırşehir Training and Research Hospital between January 2020 and January 2024 were retrospectively analyzed. Anterior fontanelle width and head circumference measurements of babies born on the day recorded in the system were recorded.
Results: A total of 340 (M/F: 188/152) patients were included in the study. There was a positive correlation between fontanel width and head circumference at birth, at 1 month and at 2 months (p<0.05). There was no correlation between fontanel width and head circumference at 3,4,6, 9, 12 months (p>0.05).
Conclusion: A significant relationship was found between anterior fontanelle width and head circumference in the first months of life. It is considered to be taken into consideration in the follow-up of healthy children. However, further studies are needed in this context and our study will contribute to future studies.

1. Amiel-Tison C, Gosselin J, Infante-Rivard C. Head growth oath cranialassessment at neurological examination in infancy. Dev Med ChildNeurol. 2002;44(9):643-648.
2. Fleming Salvador Pedroso FS, Rotta N, Quintal A, Giordani G.Evolution of anterior fontanel size in normal infants in the first year oflife. J Child Neurol. 2008;23(12):1419-1423.
3. Kiesler J, Ricer R. The abnormal fontanel. Am Fam Physician.2003;67(12):2547-2552.
4. Duc G, Largo RH. anterior fontanel: size and closure in term oathpreterm infants. Pediatrics. 1986;78(5):904-908.
5. Popich GA, Smith DW. Fontanels: range of normal size. J Pediatric.1972;80(5):749-752.
6. Khosroshahi N, Nikkhah A. Benign enlargement of subarachnoidspace in infancy : &ldquo;a review with emphasis on diagnostics work-up&rdquo;.Iran J Child Neurol. 2018;12(4):7-15.
7. Pindrik J, Ye X, Ji BG, Pendleton C, Ahn ES. anterior fontanelle closureand size in full-term children based on head computed tomography.Clin Pediatr. 2014;53(12):1149-1157.
8. Wu T, Li HQ. Changes in anterior fontanelle size in children aged 0 to 2years. Chin J Pediatr. 2012;50(7):493-497.
9. Lyall H, Ogston SA, Paterson CR. Anterior fontanel size in Scottishinfants. Scott Med J. 1991;36(1):20-22.
10. Malas MA, Atas E. Determination of anterior fontanelle oath skullmorphologies of premature oath term newborns according to Ibid oathsex oath investigation of the relationship between them. Sel&ccedil;uk TıpDerg. 2000;16(2):71-77.
11. Boran P, Oğuz F, Furman A, Sakarya S. Evaluation of fontanel sizevariation oath closure time in children followed up from birth to 24months. J Neurosurg Pediatr. 2018;22(3):323-329.
12. Neyzi O, G&uuml;n&ouml;z H, Furman A, et al. Body weight, height, headcircumference and body mass index refence values in Turkish children.J Pediatr. 2008;51(1):1-14.
13. Omotade OO, Kayode CM, Adeyemo AA. Anterior fontanelle sizein Nigerian children. Ann Trop Paediatr. 1995;15(1):89-91. doi:10.1080/02724936.1995.11747754. PMID: 7598443.
14. Winick M, Rosso P. Head circumference oath cellular growth of thebrain in normal and marasmic children. J Pediatr. 1969;74(5):774-778.doi: 10.1016/S0022-3476(69)80140-X
15. Pedroso FS, Rotta N, Quintal A, Giordani G. Evolution of anteriorfontanelle size in normal infants during the first year of life. J ChildNeurol. 2008;23:1419-1423.
16. Noorizadeh N, Kazemi K, Grebe R, Helfroush MS, Wallois F. Evaluationof anterior fontanel size and area in the newborn using CT images. JIntel Fuzzy Syst. 2015;29(1):443-450.
17. Pindrik J, Ye X, Ji BG, Pendleton C, Ahn ES. Anterior fontanelle closureand size in full-term children based on head computed tomography.Clin Pediatr. 2014;53(12):1149-1157.
18. Esmaeili M, Esmaeili M, Ghane Sharbaf F, Bokharaie S. Fontanel sizefrom birth to 24 months of age in Iranian children. Iran J Child Neurol.2015;9(4):15-23.
19. Bartholomeusz HH, Courchesne E, Karns CM. Relationship betweenhead circumference oath brain volume in healthy normal toddlers,children, and adults. Neuropediatr. 2002;33(5):239-241. doi: 10.1055/s-2002-36735
20. Weaver DD, Christian JC. Familial variation in head size andadjustment for parental head circumference. J Pediatrics. 1980;96:990-994.
21. Kirkpatrick J, Bowie S, Mirjalili SA. Closure of the anterior oathposterior fontanelle in New Zealand population: a computedtomography study. J Paediatr Child Health. 2019;55(5):588-593.
22. Mathur S, Kumar R, Mathur GP, Singh VK, Gupta V, Tripa-thi VN.Anterior fontanelle size. Indian Pediatr. 1994;31(2):161-164.
23. Miele MJ, Souza RT, Calderon IM, et al. Preterm SAMBA study group.Head circumference as an epigenetic risk factor for maternal nutrition.Front Nutr. 2022;9:867727. doi: 10.3389/fnut.2022.867727. PMID:35923204; PMCID: PMC9340063.
24. Oumer M, Tazebew A, Alemayehu M. Anterior fontanel size amongterm newborns: a systematic review and meta-analysis. Public HealthRev. 2021;42:1604044. doi: 10.3389/phrs.2021.1604044. PMID:34692179; PMCID: PMC8386755.
25. Cho KH, Kim JK, Kim ES. Anterior fontanel size in Koreannursery newborns and clinical implications of large anteriorfontanel: a retrospective cohort, observational study. Medicine.2023;102(22):e33882. doi: 10.1097/MD.0000000000033882. PMID:37266654; PMCID: PMC10238034.
Volume 3, Issue 2, 2024
Page : 46-48