Presentation
High parietal midline scalp selling since birth.
Patient Data
Age: 2 years.
Gender: Female
From the case:
Atretic parietal cephalocele
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Axial non-contrast
Mid-line high parietal subcutaneous cystic lesion (atretic cephalocele) (AC), with an underlying calvarial defect.
Vertically oriented persistent primitive falcine vein pointing to the cephalocele
From the case:
Atretic parietal cephalocele
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Sagittal T2
Mid-line high parietal subcutaneous cystic lesion (atretic cephalocele) (AC), with an underlying calvarial defect.
Vertically oriented persistent primitive falcine vein pointing to the cephalocele.
Case Discussion
Atretic cephalocele consists of:
- subgaleal cyst with intracranial extension.
- vertical primitive falcine vein and fibrous tract point to the subcutaneous scalp mass.
- focal fenestration of the superior sagittal sinus at the AC.
- Peaked tentorium.
Differential diagnosis:
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