PEDIATRICS Vol. 37 No. 4 April 1966, pp. 699-700
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Increased Fontanelle Tension as Early Sign of Cardiac Failure

WALTER SILVER M.D.1 and LEON GOLDENBERG M.D.1

1 The Jewish Hospital of Brooklyn, Department of Pediatrics—Greenpoint Division and The Department of Pediatrics—University of the State of New York, Downstate Medical Center at Brooklyn, Brooklyn, New York 11211

We have recently noted that an increase in tension of the anterior fontanelle has preceded the usual signs and symptoms of cardiac failure in infancy.

After reviewing the standard pediatric and cardiology textbooks and pertinent literature, we have found that this physical finding is not listed as a sign of heart failure in infancy.

CASE 1: A newborn with dextrocardia (without situs inversus) had shown cyanosis, when oxygen was not administered, and tachypnea since birth.




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W. Silver, L. Kuskin, and L. Goldenberg
Bulging Anterior Fontanelle: Sign of Congestive Heart Failure in Infants
Clinical Pediatrics, January 1, 1970; 9(1): 42 - 43.
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