The Jamaican Perinatal Morbidity and Mortality Survey (1986 - 1987) re
vealed nine cases of a previously unreported form of birth-related inj
ury in the English-speaking Caribbean - occipital osteodiastasis. Aspe
cts of the clinical and pathological features of this form of occipita
l bone injury are presented and discussed. Our findings suggest that t
his lesion might occur more often than is currently accepted