Gorlin-Goltz syndrome

Case contributed by Ian Bickle
Diagnosis certain

Presentation

New right-sided motor-sensory disturbance.

Patient Data

Age: 30 years
Gender: Female
ct

Extensive nodular laminar calcification of the falx cerebri, tentorium cerebelli, and petroclinioid ligaments. 

Trigonal appearance of the anterior skull with a midline bony defect.

No parenchymal abnormality.

Case Discussion

Dural and tentorial calcifications are typically in a laminar pattern and can vary in amount. It is usually observed in the elderly population, with some exceptions.

This was an exceptionally young patient for such a profound amount of dural and tentorial calcification.

Clinical inquiries established the patient had known Gorlin-Goltz syndrome, of which dural and tentorial calcification is a recognized feature.

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