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The open fontanella makes them more suspectable to severe head trauma, which can lead to hydroencephalitis, or neurologic problems. So having a molera doesn't directly cause these problems, just puts them at greater risk if they are dropped or hit on the head. Usually most toy breed owners aren't going to beat their dog on the head so it's not something vets usually bring up during exam. But be careful about dropping your pup, I have actually seen a few cases where accidental head trauma was fatal in toy breed puppies.
 
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