RT Journal Article SR Electronic T1 Persistent Anterior Fontanel in a Normal Child: Case Report JF Pediatrics JO Pediatrics FD American Academy of Pediatrics SP 644 OP 646 VO 69 IS 5 A1 Davidson, Robin I. A1 Klineman, P. YR 1982 UL http://pediatrics.aappublications.org/content/69/5/644.abstract AB Persistence of the anterior fontanel has been described in a variety of congenital and metabolic disorders, but to our knowledge there is no recorded discussion of failure of closure of this structure in an otherwise normal child. We recently encountered a 3½-year-old patient whose anterior fontanel was widely patent without evidence of abnormal membranous bone formation, underlying cortical dysgenetic problems, or failure of normal physical and intellectual development. CASE REPORT This 3½-year-old white girl, the product of a normal gestation, was referred for continued patency of the anterior fontanel. The child was totally asymptomatic. On examination, a pulsatile irregular 5x6-cm anterior fontanel was noted.