Susan Chigorom MD; Robert Barricella, MD; Maria Theresa Alvarez‐Ballway, MD; Diane Sin Quee, MD
Department of Pediatrics, Rutgers New Jersey Medical School
Luigi Bassani, MD
Department of Neurosurgery, Rutgers New Jersey Medical School
3 month old female born via normal spontaneous vaginal delivery at term with 1 week NICU stay for indirect hyperbilirubinemia presents to the emergency department for increasing head size for 2 weeks. Prior to this patient has been active and playful with no change in behavior, except for a 2 day fever 1 week prior to presentation which resolved. Patient had prior nasal congestion which mother attributed to common cold. Mother denied recurrent or chronic sinusitis or infections. Patient initially presented to her pediatrician who started monitoring head circumference and subsequently referred to the Emergency department for further evaluation. Prenatal history was negative for fever, infection or sexually transmitted diseases.