Calvarial thickening and cerebellar atrophy due to chronic phenytoin use

Case contributed by Dr Chris O'Donnell

Presentation

Dementia screen. Past history of cranial surgery causing seizures. Many years of phenytoin use.

Patient Data

Age: 55
Gender: Female

Signs of previous skull vault surgery (craniotomy and burr holes) with gross generalized thickening of the skull vault. Left cerebral hemispheric atrophy (cause uncertain but responsible for chronic seizures). Note gross generalized cerebellar atrophy also due to phenytoin use.

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Case information

rID: 32708
Published: 10th Dec 2014
Last edited: 21st Nov 2015
Inclusion in quiz mode: Included

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