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April 1994

Picture of the Month

Arch Pediatr Adolesc Med. 1994;148(4):425-426. doi:10.1001/archpedi.1994.02170040091017

THE INFANT whose head is pictured in Figure 1 through Figure 3 was delivered by cesarean section at 31 weeks' maternal gestation because of a premature rupture of the fetal membranes. One month prior to delivery, fetal ultrasonographic examination demonstrated oligohydramnios and a breech presentation. There was no history of abdominal trauma during pregnancy. The infant was delivered easily and weighed 1559 g. The abnormality of the left parietal area of the skull was noted at delivery and was defined by the skull roentgenogram (Figure 4). The infant's weight and length were at the 50th percentile for gestational age, and the head circumference was at the 75th percentile. There were no other abnormalities noted on examination.

Denouement and Discussion 

Congenital Depressed Skull Fracture 

DISCUSSION  Congenital skull depression with a fracture is rare, usually occurring in term infants.1 The occurrence of a depressed skull fracture in a newborn delivered by