BIG HEAD

[deeeja]

If my ds has a height on 9th centile, and head circumference on 50th centile, is that a sign of clinical dysmorphology?
I am getting increasingly concerned, yet paed thinks it is nothing to be worried about.
I am sure he has a head too big for his height. It is not a family trait. I think it is a big difference.
Am I being paranoid?
His height is 86 cm, and his head circumference is 51cm. He is 2 and a half.

My ds1's age and measurements are extremely similar (exactly 2 1/2, height roughly 85cm at least measurement, not sure of exact head circ, but he wears 50/52 cm size hats). His head has always been noticeably big for his size and was 35.5cm at birth (38 weeks and just 2.8 kg - ds2 at 41 weeks and 3kg had a head 2cm smaller). He does not have SN and nobody has ever suggested to me that it is a problem (we are in Germany and there children have regular checks with a paed).

last measurement

If a big head went along with extremely unusual behaviours or delayed development, then I would worry, but a big head alone is extremely unlikely to be anything to worry about. Is he short in comparison to the rest of the family? It may be his head is in proportion to the height he will eventually grow into! Better that than ending up with a small head...

ps Having a head on 50th centile doesn't sound that bad to me, even if he is short for his age.

My son is very tall for his age (approx 80th centile), but he's only in the 9th centile for weight. He was born long and thin and has remained long and thin. Centile charts don't represent every child in the world, and to fail to fit into their norms does not automatically make you abnormal.