The cephalic index (CI) is a foundational metric in craniometry, the scientific measurement of the skull. This standardized numerical value describes the overall shape of the human head by quantifying the proportion of its width relative to its length. It serves as a tool for classification within anthropometry, the study of human body measurements. The CI provides a simple, objective measure of head form, allowing researchers and clinicians to compare head shapes across individuals or populations.
Calculation and Classification
The cephalic index is derived from a straightforward mathematical formula involving two primary measurements. The index is calculated by dividing the maximum width of the head by its maximum length and then multiplying the result by 100. This calculation expresses the head width as a percentage of the head length, yielding a dimensionless number for comparison.
The maximum head length is measured from the glabella, the prominent point between the eyebrows, to the opisthocranion, the most protruding point at the back of the skull. Maximum width is measured between the euryon points, representing the widest side-to-side distance on the head, typically just above and behind the ears. This ratio provides the basis for classifying head shapes into standardized categories.
These categories classify head shapes based on the ratio. Dolichocephalic describes a long, narrow head shape with an index generally below 75, where the length greatly exceeds the width. Mesocephalic describes a medium head shape, with the index falling approximately between 75 and 80, suggesting a more oval form. A high index, often exceeding 80, is classified as brachycephalic, characterizing a broad, short head where the width is large relative to the length.
Historical Use in Anthropological Study
The concept of the cephalic index was introduced in the 1840s by the Swedish anatomist Anders Retzius as a method for classifying ancient human remains. Retzius initially used the index to categorize Europeans into the two basic forms: dolichocephalic and brachycephalic. The index rapidly became a central tool in 19th and early 20th-century physical anthropology for classifying human populations.
Anthropologists of that era attempted to link these skull measurements to distinct human races, often incorrectly associating head shape with fixed characteristics like intelligence or cultural development. This application fostered the pseudoscientific notion that skull morphology was a reliable marker for inherent differences between perceived racial groups.
This use of the cephalic index was largely discredited as scientific understanding progressed. Research showed that the CI is highly variable within any given population and can even change over generations due to environmental factors. The scientific consensus now recognizes that skull shape holds no validity as a marker for racial categorization or for assessing intellect.
Modern Medical and Forensic Applications
While its role in anthropological classification is a historical footnote, the cephalic index retains practical applications in modern medicine and forensic science. In pediatrics, the index is used as an objective tool for monitoring infant head growth and shape development. Clinicians measure the CI to screen for and assess deformational head shapes, such as brachycephaly or plagiocephaly, often caused by consistent positioning in early infancy.
Monitoring the cephalic index is important in diagnosing craniosynostosis, a condition where the fibrous sutures in an infant’s skull prematurely fuse. Measuring the CI helps in the planning and analysis of cranial deformity corrections, including the use of cranial remolding orthoses, or helmets. The index provides a measurable baseline to track the success of treatment over time.
In forensic anthropology, the cephalic index contributes to the biological profile used for identification when skeletal remains are analyzed. Skull measurements and indices can offer clues for ancestry estimation, though they are never used as a singular determinant. The CI is sometimes integrated into facial reconstruction techniques to help estimate overall head dimensions, assisting forensic experts.

