Case contributed by Dr Arthur Daire


11 year old boy with long history of bilateral proptosis and hypertelorism.

Patient Data

Age: 11
Gender: Male

Plain radiography demonstrate copper beaten skull. 


Brain MRI was unremarkable, other than shallow orbits. No parenchymal lesions. No brain swelling.

Case Discussion

11 year old boy with bilateral proptosis. Skull radiographs demonstrate copper beaten skull.  MRI which was requested to exclude a brain tumour was negative for that, but shows shallow orbits. Findings are consistent with copper beaten skull in a patient with craniosynostosis (Crouzon syndrome was suspected, but not confirmed)

Copper beaten skull (also known as beaten brass skull) refers to the prominence of convolutional markings (gyral impressions on the inner table of the skull) seen throughout the skull vault. Causes included increased intracranial pressure (Hydrocephalus, brain tumour)  and craniosynostosis (as in this case report)

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Case information

rID: 25319
Published: 19th Oct 2013
Last edited: 4th Oct 2015
Tag: refs
Inclusion in quiz mode: Included

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