Abstract
The lacunar skull is a fetal ossification disorder first defined in the early 19th century, commonly associated with spina bifida and meningocele, and rarely seen as an isolated defect. It is characterized by defects on the inner table of the skull, in the form of shallow depressions or deep cavitations causes the skull to appear fenestrated because of mesenchymal dysplasia during intramembranous ossification. These bone defects may be present in any part of the calvarium but most frequently occur in the parietal and frontal bones. Clinically, lacunar skull may be suspected, but the diagnosis usually depends on the roentgenographic appearance. We report a newborn diagnosed with severe lacunar skull defect without any congenital malformations however accompanying severe vitamin D deficiency of maternal origin.
Keywords
References
- Rothbart HB. Lacunar skull of the newborn. Am J Dis Child 1936;52(6):1375-1389.
- Kaplan SB, Kemp SS, Oh KS. Radiographic manifestations of congenital anomalies of the skull. Radiol Clin North Am 1991;29(2):195-218.
- Shopfner CE, Jabbour JT, Vallion RM. Craniolacunia. Am J Roentgenol Radium Ther Nucl Med 1965; 93: 343-349.
- Edzie EKM, Dzefi- Tettey K, Gorleku PN, et al. Craniolacunia in A neonate; A clinical and CT scan illustrative case report. Clin Case Rep 2021;9:e04501.
- Robertson RL, Ball WS Jr, Barnes PD. Skull and brain. In: Kirks DR, Griscom NT (eds) Practical pediatric imaging: diagnostic radiology of infants and children, chapt. 2, 3rd edn. Lippincott-Raven, Philadelphia,1998. pp 65-200.
- McRae DL. Observations on Craniolacunia. Acta Radiologica Diagnosis 1966; 5: 55-64.
- Andronikou S, Welman C, Kader F. Clarifying lucent oval skull markings in children: craniolacunia, convolutional markings and copperbeaten skull. SA Journal of Radiology 2001;5(1):55-57.
- Liebeskind A, Jacobson R, Schechter MM. Craniolacunia diagnosed prenatally. Neuroradiology 1971;3(2):109-112.
- Coley BD. Ultrasound diagnosis of luckenschadel (lacunar skull). Pediatr Radiol 2000;30(2):82-84.
- Rolvien T, Krause M, Jeschke A. Vitamin D regulates osteocyte survival and perilacunar remodeling in human and murine bone. Bone 2017; (103):78-87.
Abstract
Laküner kafatası, ilk olarak 19. yüzyılın başlarında tanımlanan, genellikle spina bifida ve meningosel ile ilişkili, nadiren izole bir defekt olarak görülen bir fetal kemikleşme bozukluğudur. Kafatasının iç tabulasındaki yassı kemiklerde, intramembranöz kemikleşme sırasında gelişen mezenkimal displazisi nedeni ile oluşan, sığ veya derin boşluklarla karakterize bir kemikleşme kusurudur. Lezyonlar kafatasının herhangi bir bölümünde görülebilir ancak frontal, parietal ve üst oksipital kemiklerde daha belirgindir. Tanıda kafa grafisi bulguları önemlidir. Bu yazıda herhangi bir doğumsal malformasyonu olmayan, kafatasında büyük laküner defektleri olan ve ağır D vitamini eksikliği eşlik eden bir yenidoğan olgu sunulmuştur.
Keywords
References
- Rothbart HB. Lacunar skull of the newborn. Am J Dis Child 1936;52(6):1375-1389.
- Kaplan SB, Kemp SS, Oh KS. Radiographic manifestations of congenital anomalies of the skull. Radiol Clin North Am 1991;29(2):195-218.
- Shopfner CE, Jabbour JT, Vallion RM. Craniolacunia. Am J Roentgenol Radium Ther Nucl Med 1965; 93: 343-349.
- Edzie EKM, Dzefi- Tettey K, Gorleku PN, et al. Craniolacunia in A neonate; A clinical and CT scan illustrative case report. Clin Case Rep 2021;9:e04501.
- Robertson RL, Ball WS Jr, Barnes PD. Skull and brain. In: Kirks DR, Griscom NT (eds) Practical pediatric imaging: diagnostic radiology of infants and children, chapt. 2, 3rd edn. Lippincott-Raven, Philadelphia,1998. pp 65-200.
- McRae DL. Observations on Craniolacunia. Acta Radiologica Diagnosis 1966; 5: 55-64.
- Andronikou S, Welman C, Kader F. Clarifying lucent oval skull markings in children: craniolacunia, convolutional markings and copperbeaten skull. SA Journal of Radiology 2001;5(1):55-57.
- Liebeskind A, Jacobson R, Schechter MM. Craniolacunia diagnosed prenatally. Neuroradiology 1971;3(2):109-112.
- Coley BD. Ultrasound diagnosis of luckenschadel (lacunar skull). Pediatr Radiol 2000;30(2):82-84.
- Rolvien T, Krause M, Jeschke A. Vitamin D regulates osteocyte survival and perilacunar remodeling in human and murine bone. Bone 2017; (103):78-87.
Details
| Primary Language | English |
|---|---|
| Subjects | Paediatrics |
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 22, 2022 |
| Acceptance Date | August 31, 2022 |
| Published in Issue | Year 2022 Volume: 4 Issue: 3 |
