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Dolichocephaly--a source of error in serial cephalometry.

M C Houlton, D T Brennan

    British Journal of Obstetrics and Gynaecology
    |April 1, 1976
    PubMed
    Summary
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    Ultrasonic cephalometry may suggest fetal growth issues, but newborn infants can be normal. Dolichocephaly, a specific head shape, should be considered in such cases.

    Area of Science:

    • Perinatology
    • Medical Imaging
    • Neonatology

    Background:

    • Intrauterine fetal growth retardation (IUGR) is a significant concern in prenatal care.
    • Ultrasonic cephalometry is a common tool used to assess fetal growth and development.
    • Placental insufficiency is a known cause of impaired fetal growth.

    Observation:

    • Two cases are presented where ultrasonic cephalometry indicated intrauterine fetal growth retardation.
    • The infants, upon birth, were observed to be of normal growth.
    • Both infants exhibited dolichocephaly (an elongated head shape) with normal head circumference.

    Findings:

    • The cephalometric measurements alone suggested a diagnosis of placental insufficiency.
    • Postnatal examination revealed normal growth and development in the newborns.

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  • The presence of dolichocephaly was a key feature in these cases.

    • Implications:

    • Cephalometry findings suggestive of IUGR require careful interpretation.
    • Dolichocephaly should be considered as a potential confounding factor in ultrasonic cephalometry diagnoses.
    • This highlights the importance of integrating multiple diagnostic parameters beyond cephalometry for accurate prenatal assessment.