Tan AP, Rasheed S, Sidpra J, Lim MC, James G, Oztekin O, Gonçalves FG, Mankad K. An algorithmic clinicoradiological approach to paediatric cranial vault lesions: distinguishing normal variants from pathologies.
Br J Neurosurg 2023;
37:986-999. [PMID:
33960863 DOI:
10.1080/02688697.2021.1919599]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 04/16/2021] [Indexed: 10/21/2022]
Abstract
Lesions of the paediatric cranial vault are diverse both in their presentation and aetiology. As such, they pose a diagnostic challenge to the paediatric neurosurgeon and neuroradiologist. In this article, we delineate the spectrum of paediatric calvarial pathology into four distinct groups: (1) lytic lesion(s); (2) focal sclerotic lesion(s); (3) diffuse cranial vault sclerosis; and (4) abnormal shape of the cranial vault. It is our aim that this more pragmatic, algorithmic approach may mitigate diagnostic uncertainty and aid the more accurate diagnosis of paediatric calvarial lesions.
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