The goal of the current study was to provide an easy to use criterion
to diagnose neurocranial asymmetries. An anatomical survey of the exte
rnal aspect of the skull base was planned to correlate with radiologic
al studies. In a sample of 239 skulls, variations of the angular relat
ionship between the structures seen on a basilar view of the cranium w
ere analysed. An anterior and a posterior transverse line were plotted
with respect to the midline. Departures from 90 degrees to the midlin
e for either of the transverse lines were less than 5 degrees in norma
l skulls, between 5 degrees and 7 degrees in skulls classed by indepen
dent inspection as asymmetric, and more than 7 degrees in obviously ma
lformed skulls.