Document Detail

Locking and reverse molding of the fetal skull.
MedLine Citation:
PMID:  2052509     Owner:  NLM     Status:  MEDLINE    
In 1972 Emery described a condition that he called "locking and reverse moulding of the fetal skull." Crossing and fixation (locking) of the fetal cranial bones prevented normal skull molding, thus giving rise to pressure on the basal structures of the brain. We describe 7 such cases and compared them with the 9 reported by Emery. Multiple hemorrhages were found, frequently at the base of the brain. All pregnancies had gone near or to term. Most mothers were primiparous and labor was often complicated. In several of our cases there was clinical evidence for cephalopelvic disproportion. The babies had normal birth weights and lengths and died during labor or within 48 h after birth. At autopsy, in a number of instances, other traumatic lesions were found. Clinical history and autopsy findings point to an acute condition, and in most cases there were no other findings acceptable as "cause of death."
A A de la Fuente
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric pathology / affiliated with the International Paediatric Pathology Association     Volume:  11     ISSN:  0277-0938     ISO Abbreviation:  Pediatr Pathol     Publication Date:    1991 Mar-Apr
Date Detail:
Created Date:  1991-07-23     Completed Date:  1991-07-23     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8303527     Medline TA:  Pediatr Pathol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  271-80     Citation Subset:  IM    
Streeklaboratorium voor Pathologie en Microbiologie, afd. Pathologie, Enschede, The Netherlands.
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MeSH Terms
Birth Injuries / etiology
Fetal Death / etiology
Infant, Newborn
Obstetric Labor Complications / etiology
Parietal Bone / abnormalities*
Skull / abnormalities*

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