CONGENITAL defect of the scalp is an uncommon entity which presents certain diagnostic problems in the newborn infant. This particular case is intriguing because the child's mother has a similar defect, as well as other congenital anomalies.
Report of a Case
The propositus, a white male infant, was delivered vaginally at term without instrumentation, with a birth weight of 3,544 gm (7 lb 13 oz). The delivering physician noted at once an ulceration of the occipital scalp. Because this was thought to possibly represent a meningoencephalocele, the patient was referred, at the age of 3 hours, to Walter Reed General Hospital.Physical examination on admission revealed a term male infant with normal vital signs. There was a 2 by 2 cm oval, shallow, crusty, ulcerated area of the scalp overlying the posterior fontanel. The edges of the ulcer were raised and rolled (see Fig 1). No underlying bony defect was
Cutlip BD, Cryan DM, Vineyard CWR. Congenital Scalp Defects in Mother and Child. Am J Dis Child. 1967;113(5):597-599. doi:10.1001/archpedi.1967.02090200129018