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Macrocephaly is the condition in which the head circumference of an infant is above 2 standard deviations, which is above the 97th percentile. It can be due to benign conditions or can be due to underlying causes that lead to serious sequelae like neurological deficits and developmental delays.
The average head circumference at birth is about 13.5 in. (34.5 cm). By the end of the first month, it increases to about 15 in. (37.6 cm).
What is average newborn head circumference? The average newborns head circumference is about 13.47 inches (34.2 cm). At 1 month old, its about 14.53 inches (36.9 cm). Boys heads (and bodies) are slightly larger, but the difference is less than half an inch (1 cm).
Mild microcephalic conditions may not require special treatment. If the only concern is a smaller than expected head size, the childs health practitioner may keep track of head measurements to assess brain and skull development as the child grows.
Macrocephaly is the condition in which the head circumference of an infant is above 2 standard deviations, which is above the 97th percentile.
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Head circumference is a measurement of the circumference of the childs head at its largest area, above the eyebrows and ears and around the back of the head. During routine check-ups, the distance is measured and compared to previous measurements.
For example, a head that is larger than normal or that is increasing in size faster than normal may be a sign of several problems, including water on the brain (hydrocephalus). A very small head size (called microcephaly) or very slow growth rate may be a sign that the brain is not developing properly.
Having a larger head size can be harmless, if a larger head size is a family trait, or it can be a sign of a serious medical condition. Common medical conditions include an enlarged brain, brain bleed, fluid on the brain and genetic disorders. Treatments are specific to the cause.

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