Anybody ever had to get a CT scan on a baby?

Well, I guess he isn’t a baby anymore, he’s 15 months old. I’m really not worried - I mean I’m worried, increasingly, that he isn’t talking (the doctor isn’t, though, and I trust him.) I’m not at all worried that he isn’t walking, either. He’ll walk when he wants to. He does have a huge head that’s off the growth charts, but then his father also has a huge head - the doctor says he’s not concerned, given that, but that it’s one of those things that needs to be checked given those three factors.

So evidently they can no longer ultrasound and have to CT? But… I mean… how the hell are they going to do that? No sedation was ordered, and the scheduling lady on the phone said “… so does he move around a lot?” Lady, he’s a 15 month old child. But he’s even wigglier than most - either he’s eating, sleeping, or MOVING. He doesn’t snuggle, he doesn’t sit, he just goes. He HATES being restrained for any reason whatsoever. This is going to be tough, isn’t it? Are they going to strap him in or something?

(Also please reassure me that your kid had to have his brain looked and it was fine.)

CT scans are pretty quick. The only time we use GA is if there are contrast studies. Otherwise, some short acting sedation (Midazolam) is generally sufficient.

Having formerly worked as a CT Tech that included providing coverage (both Trauma and ‘routine’ CT scans) at a major Children’s Hopsital, I have done MANY CT-Heads on kiddos of your ‘type’. It is not uncommon as US has issues penetrating through cranium and showing overall ‘gross anatomy’ as a whole, succintly put, and MRI’s take a lot, LOT longer.

A good newer-model spiral scan CT unit can do a full scan in like 10-15 seconds once the two 'scout/planning/ images are done (and oth of those are quick, maybe 3-4 seconds, IME). Take a minute or two at most usually between the front/side scout images, then ‘program’ in the image-slices/angle of gantry wanted. So, two quick pics, slight wait to program in scan parameters, then when kid is at an apparent ‘relaxed’ state, the Tech presses the ‘go’ button and its over pretty quick. Lots of adjustments can be made on table speed, slice thickness for reconstructions, etc…). My gut feeling is this scan will not require a slower table-speed needed for finer detail, but a scan with thicker slices (ie faster table speed). Don’t hold me to that, but that what I usually came across in ‘screening’=like scans such as your kids seems to be. YMMV.

It was routine to plan on having child’s head placed withing a little ‘cup-like’ holder that came up around sidesw of head, and then to place foam to snug up head. Then straps were placed, gently at first to see reaction and tighter if need be. Seems cruel, but it is only for a few minutes, tops, more often than not, IME. Nothing will cause true pain to your kid.

The place I worked allowed Mom/Dad to be next to kid in kid’s field of view for comforting and distraction, and often made a HUGE difference in child’s relaxing. I would often let kiddos touch the gantry and satisfy curiousity of “is this gonna hurt me?” kinda feeling before placing them into the head-holder - slow approach seemed to help rather than rush 'em in and slap 'em in restraint, so to speak. Of course, anyone close to gantry (ie baby being scanned) would be asked to wear a lead apron and ensure that females there were not pregnant, etc, and I often suggested them to wear the glasses with lead in them for eye protection as well. A risk-v-benefit judgement overall. And chances are that kid will have a (moderately) heavy lead apron laid upon them, and hopefully underneath as well, so the weight alone helps limit squirming to some extent.

If this scan is being done at a place that routinely does children of this age, rest assured the Techs will assuredly know the tricks and appropriate means to ‘soothe’ a nervous youngster depending on age. Radiologists do seriously frown on a kiddo being radiated over and over, so methods of easing the outcome of scan is shared amongst all the Techs there.

Worst case scenario I ever had, and there were VERY few of them overall) was tight strapping and having kiddo in a ‘papoose’, a full-body wrap that prevents them from moving. Even if they scream, the cranium does not move and give artifacts from movement. This is, however, not very comonly needed, rest assured. Kids that age don’t take long to scan on a fast-scanning machine of modern design.

Hope that helps reassure you a bit, Zsofia, and best of luck at scan time. Most, by large percentage, IME, of the scans I did for similar Sx’s were normal for the most part, but better safe than sorry if the means are available, IMHO. Plus, if kiddo has a favorite toy or thing that distracts him/her, take it along to possibly gaze upon (distract attention from the obvious spinning noisy thing in that gantry) - stuff like that just might make a helpful difference during the scan. It wasn’t uncommon for the sound of the tube in gantry spinning up around kid got their attention and distracted them for duration of the scan, LOL. They can see something moving around them through the little slit where beam emerges and focus on if as it appears then reappears so quickly, I guess.

If it helps, my daughter had a CT scan when she was slightly older for some balance issues. She was worried and scared. I stayed in the room with her, all “leaded” up. It went quickly and she did fine.

Huh, they knocked my 18 month old out cold when she needed one. Of course that was 18 years ago so I guess times really have changed.

Thank you, especially Ionizer, that does put me more at ease.

So when should I expect Mr. Wiggles to enter this “apparent relaxed state”? Like, before he goes off to college? Or do I have to wait until he gets a mortgage?

FWIW, I was hydrocephalic, so when my son inherited my off-the-charts head, they did an ultrasound early on, which was negative.

He also was not walking and barely talking at 15 months, which the doctor ascribed to the extra difficulty of hauling around and balancing his onion dome. He is now three and doing fine. He is still a little tentative and overly cautious in his movements sometimes, but there are worse problems to have with a toddler. His speech has totally blossomed into complete and generally understandable sentences.

My daughter had a toddler fracture at about the same age. I don’t remember if it was a CT scan exactly but the technicians kept her still by softly singing the Telly Tubby theme song over and over. Took many years to rid myself of that particular ear worm!

Earlier this my mother freaked out over her 357 month old baby having to have a CT scan. :o

Ours is also quite tall, which has got to be a challenge when you are learning to walk for the first time. (Honestly I think he just doesn’t walk because there’s nothing in it for him - walking doesn’t get him anything crawling isn’t.). The talking… He doesn’t say mama, he doesn’t say dada. He did finally get a word. It’s “dog”. (Also applied to the cats.). I have never seen that damned dog change one single diaper. Not one!

My daughter had one when she was, geez, I don’t even know how young. Actually. It wasn’t a CT, but a chest X-ray. The nurse took her and brought her back probably less then 10 minutes later. I think they ‘weight her down’ to keep her still. Like Ionizer said, and even more so for an x-ray, they just have to get them still for a second.

What I’ve always really wanted to know is how they get x-rays of dogs. My dogs don’t stand still when a vet is in the room, doubly so when they’re up on a table. I have no idea how they pull that off (the images are clear as well). I can only guess that they ‘clamp’ them down and just let the dog ‘struggle’ for a few seconds and then grab a shot while it’s not moving. Perhaps even tossing a blanket over it. I know some dogs (including one of mine) kind of ‘freeze’ if they’re covered by a blanket.

For the dogs, two vet techs just hold them still on the table. It’s not really that hard. If the dog is completely nuts for some reason, they might be given a mild sedative.

I had a similar experience. My older daughter is autistic, so when my younger one had a giant head that was off the charts, they wanted to scan her, too. She’s fine, by the way - she just has a giant head. Even though I’ve spent most of my adult life studying biology and fully understood what was going on, it wasn’t fun to watch them gas her to sleep in my arms, and we worried the whole time. Stupid parenting instincts.

My son’s first word was the dog’s name. I’ve heard something like that is common, because they hear the parents referring to the dog much more than they refer to each other as Mama and Dada.

Well then I’m surprised it wasn’t “Captain goddamn it”.

Well, if anybody’s wondering how it went, it was a fucking nightmare.

There was some kind of communications mixup, they wanted to do an ultrasound instead of a CT, and between this they left me sitting in a waiting room with a 15 month old baby for two hours. A baby who can’t walk. So all he wanted to do in the world is crawl on a hospital floor.

The actual ultrasound took maybe five minutes. They’re sending it to our doctor but essentially he’s fine. He did not enjoy it.

Arrghhh. I’m sorry it was such a massive pain in the arse, but very glad the result was good.

FWIW, everyone I know who has a baby who never stopped moving found that the kid talked much later than average. All its energy was going into gogogogogo; it didn’t have any left for learning to talk.

He also had a cold, three molars coming in, and a severe allergy to daylight saving time.

Poor kiddo. It’s hard when they’re scared and you can’t explain what’s going on. I hope everything is okay with the tot.

The pediatrician called personally today to tell me everything’s fine. I really appreciate that.