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Craniotabes


Definition:

Craniotabes is a softening of the skull bones.

Alternative Names:

Congenital cranial osteoporosis

Causes, incidence, and risk factors:

Craniotabes can be a normal finding in infants, especially premature infants. Studies suggest it occurs in up to one third of all newborn infants.

Craniotabes is a harmless finding in the newborn, unless it is associated with other problems, such as rickets and osteogenesis imperfecta (brittle bones).

Symptoms:
  • Soft areas of the skull, especially along the suture line
  • Soft areas pop in and out
  • Bones may feel soft, flexible, and thin along the suture lines
Signs and tests:

Typically craniotabes is demonstrated by pressing the bone along the area where the bones of the skull come together. The bone often pops in and out, similar to pressing on a Ping-Pong ball.

No testing is done unless osteogenesis imperfecta or rickets is suspected.

Treatment:

Craniotabes that are not associated with other conditions are not treated.

Expectations (prognosis):

Complete healing is expected.

Complications:

There are usually no complications.

Calling your health care provider:

This finding is usually discovered when the baby is examined during a well-baby check. Call your health care provider if you notice that your child has signs of craniotabes (to rule out other problems).

Prevention:

Most of the time, craniotabes is not preventable (except when associated with rickets and osteogenesis imperfecta).

References:

Greenbaum, L. Rickets and Hypervitaminosis D. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds.Nelson Textbook of Pediatrics.19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 48.


Review Date: 2/21/2013
Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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