8. Bulging Fontanel: Behind the Soft Spot
Another symptom of SBS, though not as outwardly apparent, is an unusually bulging fontanel or soft spot on the infant’s head. This sign is a direct indicator of increased pressure within the infant’s skull, a repercussion of the brain trauma caused by SBS.
An infant’s fontanel is a unique biological feature that allows for the rapid growth of the brain during the first few months. The soft spot is designed to accommodate this expansion. But in cases of SBS, the bulging fontanel is a manifestation of something sinister.
The excessive bulging is caused by the increased intracranial pressure, a direct result of the brain trauma from SBS. The force exerted on the brain tissue can lead to swelling, which in turn pushes against the skull and the soft spot, causing it to bulge outward.
The bulging fontanel is also associated with a shift in the child’s behavior. Accompanied by other symptoms like excessive crying, changes in sleep patterns, and seizures, this physical change provides a tangible confirmation of the internal damage.
This seemingly benign symptom, when understood in the context of SBS, morphs into an urgent cry for help. Recognizing a bulging fontanel as a potential symptom of SBS can enable timely intervention, potentially saving the infant from further harm and lifelong consequences. (8)
