Cephalic in Ultrasound: Understanding Fetal Head Measurements

Terminology

Cephalic (from Greek kephalē, head) refers to fetal head measurements/observations in obstetric ultrasound.

Key Measurements

Importance

Serial cephalic biometry monitors fetal growth, detects anomalies (neural tube, craniosynostosis, growth restriction), and guides delivery planning.

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MeasurementDefinitionClinical 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 levelGestational age dating (2nd tri), growth tracking.
Occipitofrontal Diameter (OFD)Anteroposterior lengthComplements BPD for CI.
Head Circumference (HC)Perimeter of craniumGrowth, micro-/macrocephaly detection.
Cephalic HematomaSubperiosteal blood (bound by suture lines)Birth trauma; resolves weeks-months. Distinct from caput succedaneum (crosses sutures).
Cephalic ProminenceLocalized skull bulgeMay indicate encephalocele, cephalocele, tumor, molding. Needs follow-up.