Why can hydrocephalus cause a baby's head to enlarge?

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Hydrocephalus causes a baby's head to enlarge because of the accumulation of cerebrospinal fluid within the brain's ventricles.1

In infants, the individual bones of the skull have not yet fused together. These junctions, known as fontanels, allow for flexibility in the infant's head. When fluid builds up, the resulting internal pressure forces these unfused bones to bulge outward at their juncture points, leading to a visible and progressive enlargement of the head. If left untreated, this pressure can compress the brain, potentially resulting in convulsions and intellectual disability. Medical intervention typically involves the surgical insertion of a shunt to drain the excess fluid and relieve intracranial pressure.123