October 1983

Radiological Case of the Month

Author Affiliations

Contributed from the Department of Neurology (Dr Gadoth) and Pediatric Radiology Unit (Dr Grunebaum), Beilinson Medical Center and Tel Aviv University Medical School, Petah-Tiqva, Israel.

Am J Dis Child. 1983;137(10):1019-1020. doi:10.1001/archpedi.1983.02140360079022

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