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Cranial asymmetry secondary to unilateral hemispheric damage during late childhood. Case report
Journal of Neurosurgery
|March 1, 1980
Insights
Unilateral skull abnormalities, typically linked to infant brain damage, can also result from cortical damage in late childhood. This finding expands the understanding of skull asymmetry causes.
Area of Science:
- Neurology
- Pediatric Neurology
- Neuroimaging
Background:
- Hemispheric brain damage in infancy often leads to characteristic skull abnormalities.
- These include unilateral skull thickness hypertrophy, sinus enlargement, and petrous ridge elevation.
- Contralateral body hemiatrophy is also a common sequela.
Observation:
- A case study presented a patient with these skull abnormalities.
- The patient experienced cortical damage during late childhood, not infancy.
Findings:
- The findings suggest that similar skull abnormalities can arise from cortical damage occurring later in childhood.
- This challenges the established association solely with early-life hemispheric damage.
Implications:
- This case broadens the differential diagnosis for unilateral skull abnormalities.
- It highlights the importance of considering later-onset cortical damage in pediatric neurological assessments.
- Further research is warranted to understand the mechanisms linking late childhood cortical damage to skull morphology.
Abstract:
Skull abnormalities such as unilateral hypertrophy of skull thickness, enlarged sinuses, and elevated petrous ridge with contralateral body hemiatrophy are commonly associated with hemispheric damage that occurs during infancy. The present case emphasizes that such changes may be associated with cortical damage during late childhood.