Fig. 54.—Ellipsoides (classified by Sergi).

The Morphological Evolution of the Cranium through the Different Periods of Life. Embryogeny. Order of Appearance of the Points of Ossification and of Synostosis of the Sutures.—In its successive transitions through the different periods of life, the cranium not only acquires successively greater volume, but it assumes forms corresponding to the different grades of morphological evolution. We may group its transformation under five different periods: 1. from conception until birth (embryonic evolution); 2. from birth until the end of the third year (infantile evolution); 3. from three years old until twenty (youthful evolution); 4. from twenty to forty (adult age); 5. from forty to the end of life (involution).

First Period.—In the earliest stages of intrauterine life the cranium consists of a membranous skin, enclosing the primitive cells of nerve tissue constituting the brain; it has a cartilaginous basal part, destined later to form the base of the skull (basioccipital and basisphenoid bones). But all the rest (the vault or cap of the cranium) remains in a membranous state, so that at this period the head of the embryo has not yet acquired a definite form.

Fig. 55.—Cranium of new-born child. Showing nodules and fontanelles.

In the second month of intrauterine life the phenomena of ossification have already begun to take place; that is, a fine network has formed, spreading over almost the entire surface, which proceeds to fill up its interstices with calcareous salts. This process, however, is more rapid and more intense at certain points (points of ossification), from which it cannot properly be said that the ossification radiates, but rather that at these points the general process is intensified and concentrated. There are five principal points of ossification: two frontal, two parietal and one occipital, which appear clearly defined and projecting like nodules, imparting to the cranium, when seen from above, a pentagonal form, which is the normal form of the infant cranium.

Second Period.—At birth the cranium has not yet completed the process of ossification, nor are the normal number of bones that will eventually compose the adult cranium, as yet definitely determined. Therefore the cranium of the new-born child has three distinct characteristics:

  1. It is not yet uniformly rounded, but polyhedral because of the noticeable prominence of the five primitive nodules or centres of ossification (2 frontal, 2 parietal, 1 occipital, Figs. 53, 55).
  2. Since the process of ossification of the bones is not yet completed, certain membranous portions or cranial fontanelles still remain, which are especially wide at the points where several bones meet. The principal fontanelle is that of the bregma (at the juncture of the two frontal with the two parietal bones, quadrangular). Next comes that of the lambda, which is much smaller (juncture of the two parietal bones with the occipital, triangular), and lastly the fontanelles of the asterion and the pterion, on opposite sides of the temporal bones, the former being situated behind and the latter in front.
  3. Since the process of ossification is incomplete, the fusion of bony portions into entire bones, such as they are destined to be when complete development is reached, has not yet been accomplished; that is to say, certain bones of the cranium are still divided into several portions. For example, the frontal bone in the new-born child is composed of two bones, separated by a longitudinal suture that is destined to disappear, and the occipital bone is composed of four parts, namely, the base, the squama and the two condyles (basioccipital, exoccipital and superoccipital bones).