Increased Head CircumferenceSymptoms, Doctors, Treatments, Advances & More
Learn About Increased Head Circumference
Increased head circumference is when the measured distance around the widest part of the skull is larger than expected for the child's age and background.
Macrocephaly
A newborn's head is usually about 2 cm (0.78 inch) larger than the chest size. Between 6 months and 2 years, both measurements are about equal. After 2 years, the chest size becomes larger than the head.
Measurements over time that show an increased rate of head growth often provide more valuable information than a single measurement that is larger than expected.
Increased pressure inside the head (increased intracranial pressure) often occurs with increased head circumference. Symptoms of this condition include:
- Eyes moving downward
- Irritability
- Vomiting
Increased head size may be from any of the following:
- Benign familial macrocephaly (family tendency toward large head size)
- Canavan disease (condition that affects how the body breaks down and uses a protein called aspartic acid)
- Hydrocephalus (buildup of fluid inside the skull that leads to brain swelling)
- Bleeding inside the skull
- Disease in which the body is unable to break down long chains of sugar molecules (Hurler or Morquio syndrome)
Your health care provider usually finds an increased head size in a baby during a routine well-baby exam.
A careful physical exam will be done. Other milestones for growth and development will be checked.
In some cases, a single measurement is enough to confirm that there is a size increase that needs to be tested further. More often, repeated measurements of the head circumference over time are needed to confirm that the head circumference is increased and the problem is getting worse.
Diagnostic tests that may be ordered include:
- Head CT scan
- MRI of the head
- Cranial ultrasound
Treatment depends on the cause of the increased head size. For example, for hydrocephalus, surgery may be needed to relieve the buildup of fluid inside the skull.
Rubenstein Child Health Building
Dr. Julie Hoover-Fong is a Professor of Genetic Medicine and Pediatrics and Director of the Greenberg Center for Skeletal Dysplasias at Johns Hopkins University. Dr. Hoover-Fong holds a bachelor’s degree in Human Nutrition from The Ohio State University, where she also completed her medical degree. She received her Ph.D. in the Graduate Training Program in Clinical Investigation at the Johns Hopkins University School of Medicine and Bloomberg School of Public Health. Dr. Hoover-Fong completed a pediatric internship and residency at Washington University in St. Louis and a fellowship in medical genetics at Johns Hopkins University in Baltimore. She joined the Johns Hopkins University faculty in 2002 and progressed to Professor of Genetic Medicine and Pediatrics in 2019. She practices and oversees the clinical operations, research and educational ventures for the patients, families and healthcare providers served by the Greenberg Center. Her clinical team develops and improves diagnostic and treatment guidelines for comprehensive care of patients with all types of bone conditions including dwarfism, orofacial clefting, craniosynostosis and more. Dr. Hoover-Fong also mentors and teaches medical students, residents and genetic medicine trainees. As an active clinical researcher, Dr. Hoover-Fong is the Principal Investigator of multiple global clinical trials for achondroplasia, the first multi-center, investigator-initiated natural history study for achondroplasia, and multiple clinical studies for patients with orofacial clefting, hypophosphatasia and other conditions. She is also a co-investigator on the ELSI and Phenotype Review Committees for the Mendel Project, a whole exome sequencing venture to identify the genetic cause of Mendelian conditions. From an institutional service perspective, Dr. Hoover-Fong serves on the Johns Hopkins Associate Professor Promotions Committee and the Advisory Committee for the Graduate Training Program in Clinical Investigation. She serves on the Medical Advisory Board of the Little People of America, is a member of the Miller-Coulson Academy of Clinical Excellence at Johns Hopkins University and is a charter member of the International Skeletal Dysplasia Management Consortium, publishing best practice guidelines for patients with skeletal dysplasias. Dr. Hoover is rated as an Elite provider by MediFind in the treatment of Increased Head Circumference. She is also highly rated in 26 other conditions, according to our data. Her clinical expertise encompasses Rhizomelic Syndrome, Achondroplasia, Spondyloepimetaphyseal Dysplasia Strudwick Type, Adenoidectomy, and Myringotomy. Dr. Hoover is board certified in American Board Of Medical Genetics And Genomics.
ETSU Physicians & Associates- Pediatrics
. Dr. Russi is rated as a Distinguished provider by MediFind in the treatment of Increased Head Circumference. He is also highly rated in 125 other conditions, according to our data. His clinical expertise encompasses Increased Head Circumference, Ehlers-Danlos Syndrome (EDS), Chromosome 8p Deletion, and Chromosome 6q Duplication. Dr. Russi is board certified in American Board Of Pediatrics and American Board Of Medical Genetics.
Ghayda Mirzaa is a Medical Genetics specialist and a Pediatrics provider practicing medicine in Seattle, Washington. Dr. Mirzaa is rated as an Elite provider by MediFind in the treatment of Increased Head Circumference. She is also highly rated in 19 other conditions, according to our data. Her clinical expertise encompasses Increased Head Circumference, Cortical Dysplasia, Achalasia Microcephaly Syndrome, and Microcephaly. Dr. Mirzaa is currently accepting new patients.
Summary: Brain somatic mutations affecting genes of the mTOR signaling pathway are a well-established cause of cortical malformations, including focal cortical dysplasia and hemimegalencephaly. Somatic mutations in SLC35A2 have been identified in mild malformation of cortical development with oligodendroglial hyperplasia in epilepsy (MOGHE), while activating somatic mutations in the SHH pathway are associa...
Summary: PtenTurkiye.org' is a national ( Turkish), web-based registry for PTEN Hamartoma Tumour ( PHTS) syndrome established in 2022. It is designed to increase awareness, gather scientific knowledge by collaboration and increase data accessibility, collect high-quality data on the epidemiology, genetic background and natural history of PHTS especially for pediatric patients so that more accurate follow u...
Published Date: April 05, 2025
Published By: Charles I. Schwartz, MD, FAAP, Clinical Assistant Professor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, General Pediatrician at PennCare for Kids, Phoenixville, PA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Bamba V, Kelly A. Assessment of growth. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 27.
Mitchell AL. Congenital anomalies. In: Martin RJ, Fanaroff AA, eds. Fanaroff and Martin's Neonatal-Perinatal Medicine. 12th ed. Philadelphia, PA: Elsevier; 2025:chap 29.