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Large Forehead Mass Resulting From Chronic Head Banging
Steven A Ovadia1, Daniel Gonzalez2, Seth R Thaller1
1Division of Plastic, Aesthetic, and Reconstructive Surgery, DeWitt-Daughtry Family Department of Surgery.
Abstract:
Head banging is a commonly observed movement disorder which is typically self-limited. Complications secondary to this behavior are rare. In this report, the authors present the case of a 15-year-old patient who was treated for a forehead mass which developed secondary to chronic head banging. Surgical excision was performed for treatment of the lesion. Results from surgical pathology were notable for fibrosis consistent with history of chronic head banging. Preoperative magnetic resonance imaging and physical examination were also consistent with this diagnosis. This is a rare clinical entity that should be considered in patients presenting with a forehead mass and a history of head banging.
Insights
Head banging, a common movement disorder, can rarely cause forehead masses. Surgical removal of a mass in a 15-year-old revealed fibrosis, confirming this rare complication.
Area of Science:
- Neurology
- Dermatology
- Pediatrics
Background:
- Head banging is a common, usually self-limited movement disorder.
- Complications arising from head banging are infrequent.
- Forehead masses are rarely associated with this behavior.
Purpose of the Study:
- To report a rare case of a forehead mass secondary to chronic head banging.
- To highlight the diagnostic considerations for such presentations.
Main Methods:
- Case presentation of a 15-year-old patient with a forehead mass.
- Diagnostic workup included physical examination and magnetic resonance imaging (MRI).
- Surgical excision of the forehead mass was performed.
Main Results:
- Surgical pathology confirmed fibrosis, consistent with chronic head banging.
- Preoperative imaging and physical examination supported the diagnosis.
- The patient's forehead mass was successfully treated with surgery.
Conclusions:
- A forehead mass in a patient with a history of head banging is a rare clinical entity.
- This condition should be considered in the differential diagnosis of forehead masses.
- Early diagnosis and surgical intervention can effectively manage this rare complication.
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