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Case Reports
August 1940


Author Affiliations

From the Caylor-Nickel Clinic.

Am J Dis Child. 1940;60(2):359-362. doi:10.1001/archpedi.1940.02000020113011

Lacuna skull is an anomaly of the cranium usually associated with spina bifida or meningocele and occasionally with encephalocele. West, an Englishman, first described lacuna skull in 1875, as it occurred in a child 2 years of age. Engstler, in 1905, described the condition more fully and discussed the etiology. In the more recent literature several cases have been reported. Rothbart, of Detroit, gave an excellent review and discussion in 1936.1

As far as can be determined by a search through the literature, in no case previously reported has the condition been known to continue into adult life. The majority of patients afflicted with lacuna skull succumb during early infancy to either hydrocephalus or intercurrent infection.1 The following report of a case should be of interest, for it is that of a patient who has reached the age of 17.

REPORT OF A CASE  R. M., a boy 13

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