Paget disease of the skull

Case contributed by Leonardo Cordeiro Nascimento
Diagnosis certain

Presentation

Patient with Paget disease and diabetes mellitus on follow-up

Patient Data

Age: 80 years
Gender: Female
x-ray

Increase in the diploid space, with an "insufflation" aspect in the entire skullcap.

Case Discussion

Paget disease of the skull in a patient with a confirmed diagnosis. Although at first glance this may be thought to represent the Tam o' Shanter sign, it is not as it lacks the platybasia and basilar invagination that is needed for this sign to be present. 

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