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Encyclopedia -> Symptoms -> S -> Sutures - separated

Sutures - separated

Alternate Names: Separation of the sutures

Considerations: The skull of a young infant and young child is made up of bony plates that allow for growth of the skull. The borders along which these plates intersect are called sutures or suture lines. In an infant only a few minutes old, the pressure from delivery compresses the head, making the bony plates overlap at the sutures and creating a small ridge. This is a normal finding of newborns. In the next few days the head expands, the overlapping disappears, and the edges of the bony plates meet edge to edge. This is the normal position.

Diseases or conditions that cause abnormal pressure increases within the head cause the head size to grow rapidly spreading the sutures apart. These separated sutures are indicative of increased intracranial pressure (pressure within the skull). Separated sutures often are associated with bulging fontanelles and, if intracranial pressure is significantly increased, prominent veins over the scalp.

Common Causes:

Home Care: Home care is based on the specific diagnosis associated with separated sutures.

Call If:

What To Expect: The medical history will be obtained and a physical examination performed.

Medical history questions documenting separated sutures in detail may include:

  • Have other abnormalities been present (such as abnormal head circumference)?
  • When did you first notice that the sutures were separated?
  • Does it seem to be getting worse?
  • What other symptoms are also present?
Physical examination:
Your health care provider will palpate (feel) the sutures to determine the degree of separation. In addition, the fontanelles and scalp veins will be examined. If there are abnormal findings, the nervous system and vision will be evaluated in detail.

Diagnostic tests that may be performed are:After seeing your health care provider:
Although your health care provider keeps records from routine examinations, you may find it helpful to maintain your own records of your child’s development. You will want to bring these records to your health care provider’s attention if you notice anything unusual.

If a diagnosis was made by your health care provider as to the cause of separated sutures, you may want to note that diagnosis in your personal medical record.

Disclaimer: The text presented on these pages is for your information only. It is not a substitute for professional medical advice. It may not represent your true individual medical situation. Do not use this information to diagnose or treat a health problem or disease without consulting a qualified health care provider. Please consult your health care provider if you have any questions or concerns.

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