Presentation
Term baby, delivered by forceps this morning. Swelling and bruising noted over right parietal area. Some crepitus felt. Neurology normal. Skull fracture?
Patient Data
Age: 3 days
Gender: Male
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The skull vault is mildly deminseralised with rounded areas of decreased lucency, particularly evident in the parietal and occipital bones.
From the case:
Lacunar skull
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The frontal, parietal and occipital bones are markedly thinned, with large foramina where there is no mineralization at all.
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The previously demonstrated areas of lucency in the skull vault have resolved.
Case Discussion
These radiographs demonstrate the classical appearance of lacunar skull. These changes usually resolve by 6 months of age 1.