This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
- Oscar H. Purugganan, MD, MPH
- Children’s Evaluation & Rehabilitation Center Albert Einstein College of Medicine Bronx, NY
Measuring the head circumference is an important element of the pediatric physical examination, especially in the first 3 years after birth, when brain growth is maximal. A series of measurements over time is more instructive than a single measurement, which can, however, still provide useful information. For example, an abnormal head circumference at birth is a clue to an early prenatal effect. A head circumference more than 3 standard deviations below or above the mean almost always is associated with some degree of neurologic impairment. Measurements are plotted on standardized charts. The latest Centers for Disease Control and Prevention growth charts feature curves for 3rd and 97th percentiles, which are important cut-offs in the measurement of head circumference. Special charts are available for children who have conditions associated …
Individual Login
Institutional Login
You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.