Abstract:
BACKGROUND:Calvarial lesions are often detected incidentally in routine radiology. Most lytic lesions of the skull are benign. Enlarged parietal foramina are benign lesions caused by deficient intramembranous ossification. CASE REPORT:An 11 month-old female patient was admitted with a mass on the right of the back of the head. Physical examination showed a soft 5 cm mass area with no palpable bone in the right occipital. The family history revealed a similar mass in a maternal cousin that resolved over time. Craniography showed lytic lesions, and there were no other pathologies on a complete skeletal X-ray. Computed tomography (CT) showed regular-shaped defects in the bilateral temporal bones, right parietal bone, bilateral frontal bones in the upper-medial orbital wall, and particularly in the occipital bone. The well-defined contours, absence of a soft tissue component, and normal structure and density of the adjacent calvarial bones all pointed to a congenital defect. No change in the lesions was observed during a three-year ultrasound follow-up period. CONCLUSION:To the best of our knowledge, this is the first described case of multiple occipital, parietal, temporal, and frontal foramina in the cranium. A diagnosis of enlarged parietal foramina variant should be considered after ruling out the differential diagnosis in patients with multiple calvarial lesions. CT may provide valuable findings for the differential diagnosis, and sonography may be used for follow-up.
journal_name
Balkan Med Jjournal_title
Balkan medical journalauthors
Yılmaz E,Yetim A,Erol OB,Pekcan M,Yekeler Edoi
10.5152/balkanmedj.2014.14528subject
Has Abstractpub_date
2014-12-01 00:00:00pages
345-8issue
4eissn
2146-3123issn
2146-3131pii
bmj-31-4-345journal_volume
31pub_type
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