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Radiological Case of the Month

Natan Gadoth, MD; Michael Grunebaum, MD; Lionel W. Young, MD
Am J Dis Child. 1983;137(10):1019-1020. doi:10.1001/archpedi.1983.02140360079022.
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A 6½-year-old girl was examined for short attention span, nightmares, and tantrums. Her neonatal history was that she had been the product of a full-term gestation and a normal delivery. Her neonatal course and psychomotor development had been uneventful. At 10 months of age, she was in an automobile accident and suffered head trauma without a loss of consciousness. She had a transient right hemiparesis that cleared in ten days. Roentgenography of the skull was obtained (Fig 1).

At 6½ years of age, physical examination showed there was a small defect in the left calvaria on palpation and mild, right-sided lateral rectus weakness. A second skull roentgenogram was obtained (Fig 2).

Denouement and Discussion 

Leptomeningeal Cyst After Skull Fracture  The so-called growing skull fracture was first reported by Howship in 1816,1 and the first account of its pathology was given in 1856 by von Rokitansky.2 The term leptomeningeal cyst


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