We assessed a method for screening the cranial shape of 1-month-old infants using a simple measuring instrument instead of a three-dimensional scanner. The Mimos craniometer was used to measure cranial length, cranial width, and two diagonal lengths to calculate the cranial index (CI) and cranial asymmetry (CA). We defined a CI > 90% as brachycephaly and CA > 5 mm as deformational plagiocephaly (DP). Intra- and inter-examiner accuracy analyses were performed on a dummy doll and 1-month-old infants. The measurements of healthy 1-month-old infants were compared with previously reported three-dimensional scanner measurements. Intra- and inter-rater measurements showed good accuracy; diagnostic accuracy comparisons of brachycephaly and DP using a three-dimensional scanner showed kappa values of 1.0 and 0.8, respectively. Comparisons were made among 113 infants matched for day-age at the date of measurement; there were no significant differences in the CI (85.0% vs. 85.2%, p = 0.98) and CA (5.9 mm vs. 6.0 mm, p = 0.48) between the scanner and caliper measurements, nor in the prevalence of brachycephaly (12.4% vs. 17.7%, p = 0.35) or DP (58.4% vs. 56.6%, p = 0.89). This simple measurement method using calipers and bands was useful in screening for brachycephaly and DP in 1-month-old infants.

The purpose of this study was to investigate changes in cranial shape among preterm neonates aged 1–6 months and the relationship between developmental quotient (DQ) and cranial shape at 6 months of age. Preterm infants who were hospitalized in our hospital were prospectively followed for 6 months. The cephalic index (CI) and cranial vault asymmetry index (CVAI) were evaluated at 1 (T1), 3 (T2), and 6 months (T3) of age and compared with those of the full-term infants. The relationship between CI or CVAI and DQ at T3 was analyzed using the Enjoji Scale of Infant Analytical Development. A total of 26 participants born at 34.7 ± 1.9 weeks of gestation were included. The CI increased with age (T1: 77.2%, T2: 82.9%, T3: 85.4%, p < 0.01). The prevalence of dolichocephaly at T3 did not significantly differ from that in full-term infants (15.4% vs. 4.5%, p = 0.08). CVAI did not significantly differ between preterm and full-term infants. The DQ showed no significant correlation with either the CI or CVAI (correlation coefficients: 0.23 for CI, −0.01; CVAI). Dolichocephaly improved over time in preterm infants and no relationship between cranial shape and development was observed in preterm infants at 6 months of age.

Terminal deletion of the long arm of chromosome 10 is frequently associated with urogenital anomalies. Renal dysfunction sometimes progresses despite aggressive treatment, and timely interventions are indispensable. Serum creatinine (Cr) overestimates renal function in children with low muscle mass. Meanwhile, serum cystatin-C (cysC) is unaffected by muscle mass. We report the case of a patient with terminal deletion of chromosome 10q associated with low muscle mass and renal dysfunction due to urinary anomalies. Treatment for renal dysfunction was performed by monitoring cysC. At 2 years of age, as cysC increased, although Cr was normal, prostatic diverticulectomy and vesicostomy were performed. At 3 years of age, as cysC was high, although Cr normalized, residual prostatic diverticulectomy was performed. At 5 years of age, cysC normalized later than Cr. CysC enabled accurate evaluation and early intervention of renal dysfunction compared to Cr in a patient with chromosomal abnormalities with low muscle mass.