Early infantile (birth to 6 mo of age) | Hydrocephalus (progressive or "arrested") |
Induction disorders | Spina bifida cystica, cranium bifidum, Chiari malformations (types I, II, and III), aqueductal stenosis, holoprosencephaly |
Mass lesions | Neoplasms, atrioventricular malformations, congenital cysts |
Intrauterine infections | Toxoplasmosis, cytomegalic inclusion disease, syphilis, rubella |
Perinatal or postnatal infections | Bacterial, granulomatous, parasitic |
Perinatal or postnatal hemorrhage | Hypoxia, vascular malformation, trauma |
Hydranencephaly | |
Subdural effusion |
Hemorrhagic, infectious, cystic hygroma | |
Normal variant (often familial) |
Late infantile (6 mo to 2 yr of age) | Hydrocephalus (progressive or "arrested") |
Space-occupying lesions | Tumors, cysts, abscess |
Postbacterial or granulomatous meningitis | |
Posthemorrhagic | Trauma or vascular malformation |
Dandy-Walker syndrome |
Subdural effusion |
Increased intracranial pressure syndrome |
Pseudotumor cerebri | Lead, tetracycline, hypoparathyroidism, corticosteroids, excess or deficiency of vitamin A, cyanotic congenital heart disease |
Primary skeletal cranial dysplasias (thickened or enlarged skull) |
Osteogenesis imperfecta, hyperphosphatemia, osteopetrosis, rickets | |
Megalencephaly (increase in brain substance) |
Metabolic central nervous system diseases | Leukodystrophies (eg, Canavan, Alexander), lipidoses (Tay-Sachs), histiocytosis, mucopolysaccharidoses |
Proliferative neurocutaneous syndromes | von Recklinghausen tuberous sclerosis, hemangiomatosis, Sturge-Weber |
Cerebral gigantism | Sotos syndrome |
Achondroplasia |
Primary megalencephaly | May be familial and unassociated with abnormalities of cellular architecture, or associated with abnormalities of cellular architecture |
Early to late childhood (older than 2 yr of age) | Hydrocephalus (progressive or "arrested") |
Space-occupying lesions | |
Preexisting induction disorder | Aqueductal stenosis |
Postinfectious | |
Hemorrhagic | |
Chiari type I malformation | |
Megalencephaly |
Proliferative neurocutaneous syndromes | |
Familial | |
Pseudotumor cerebri |
Normal variant |