Depressed Skull Fracture in an Infant – Non-accidental Trauma versus Accidental Trauma
History: Infant status post fall from 4 feet. This is the appearance of a depressed skull fracture in an infant. In the setting of skull fractures in an infant, one always has to rule out the presence of non-accidental trauma (NAT), which is medical-speak for child abuse. There are multiple characteristics of skull fractures which […]
Solution to Unknown Case # 8 – Luckenschadel Skull versus Copper Beaten Skull
History: Infant with a congenital anomaly. This is the appearance of a Luckenschadel (or lacunar) skull. Luckenschadel skull is a congenital defect in the skull that results from abnormal membranous ossification. It is associated with Chiari II malformations, which includes the following features: 1. Cerebellar tonsil herniation through foramen magnum due to a small posterior […]
Unknown Case # 8 – Pediatric Skull Radiograph
History: Infant with congenital abnormality. What is your diagnosis? What is the term for this finding? What are its associations? Comment, like, pin, and share below!
Basal Ganglia Calcifications
History: 85 year old male presents with headache. These calcifications in elderly patients are most likely secondary to normal aging; however, other entities cause bilateral symmetric basal ganglia calcifications. The differential includes congenital infections such as CMV and HIV, and more rare conditions such as MELAS (Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes) in children, […]
Atherosclerosis
History: 80 year old female with headache. This is a common area for atherosclerotic calcifications in elderly patients.
Meningioma
History: 60 year old female presents with headache. The diagnosis in this case was meningioma, which is the most common extra-axial mass in the adult. Classically they are seen in elderly females, as in this case.