Renal osteodystrophy of the skull vault

Case contributed by David Cuete

Presentation

On dialysis long term. Study requested to assess headache

Patient Data

Age: 40
Gender: Male

Subtle but definite widespread lytic change throughout the skull vault as an incidental finding.

Case Discussion

Findings in diffuse skull thickening from renal osteodystrophy are described as "loss of distinction between the inner and outer table" and a "granular deossification of the skull" ("salt and pepper skull") due to small lytic foci interspersed with normal bone. 

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