Fontanelle
Fontanelles are the soft membraneous regions of the fetus and neonate calvarium where the corners of three or four developing flat bones meet and allow for the growth over the skull over the developing brain.
There are two main, palpable fontanelles in the midline:
- anterior fontanelle, the largest fontanelle, which closes (fuses) at 18-24 months of age to become the bregma
- posterior fontanelle which fuses at 3 months of age to become the lambda
There are two smaller paired bilateral fontanelles:
- anterolateral (sphenoidal) fontanelle which fuses at 6 months of age to become the pterion
- posterolateral (mastoid) fontanelle which fuses in the second year of life to become the asterion
Clinical significance
- assessment of calvarial growth
- assessment of hydration status
- assessment of intracranial pressure
- provides an acoustic window for neonatal head ultrasound
Related pathology
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