Cephalic in Ultrasound: Understanding Fetal Head Measurements
Terminology
Cephalic (from Greek kephalē, head) refers to fetal head measurements/observations in obstetric ultrasound.
Key Measurements
| Measurement | Definition | Clinical Use |
|---|---|---|
| Cephalic Index (CI) | BPD / OFD × 100 (transverse / anteroposterior diameter) | Head shape: 75–85 normal. <75 = dolichocephaly; >85 = brachycephaly. Assess molding, constraint. |
| Biparietal Diameter (BPD) | Transverse width at thalami level | Gestational age dating (2nd tri), growth tracking. |
| Occipitofrontal Diameter (OFD) | Anteroposterior length | Complements BPD for CI. |
| Head Circumference (HC) | Perimeter of cranium | Growth, micro-/macrocephaly detection. |
| Cephalic Hematoma | Subperiosteal blood (bound by suture lines) | Birth trauma; resolves weeks-months. Distinct from caput succedaneum (crosses sutures). |
| Cephalic Prominence | Localized skull bulge | May indicate encephalocele, cephalocele, tumor, molding. Needs follow-up. |
