Learning objectives
To describe with images the most frequent cranial lesions in pediatrics and show a mnemonic that facilitates remembering the pathologies,
according to the age of presentation,
of this anatomical region often forgotten.
Background
In pediatrics,
skull lesions are not frequent,
they can be identified as incidental findings or as manifestations of pathologies.Performing an adequate radiological approach is essential because it defines the requirement of pathological confirmation,
especially in aggressive lesions that generate invasion of adjacent soft tissues,
including the brain parenchyma.
Likewise,
it is necessary to consider those findings that do not correspond with neoplasm,
but instead to conditions without pathological meaning or post- traumatic sequelae.
Findings and procedure details
We propose two mnemonics (Figure 2) to remember the most frequent pathologies according to the age of presentation as well as a schematic summary of the clinical,
radiological and key findings by modality that allow the identification of the pathology between the differential diagnoses.
We present a series of original cases from our pediatric reference center to describe the main findings of the lesions.
Figure 2.
Mnemonics proposed for easy access to the most frequent pathologies of the skull,
according to the age group,
in...
Conclusion
Injuries or calvarium masses in pediatrics are mostly incidental but may be the first finding of an important pathology,
therefore it is important for the radiologist to have diagnostic keys that allows them to become familiar and remember the most frequent entities in the different group ages to assist in the clinical approach of patients.
Personal information
Author Information:
Natalia Rueda Ruiz. Radiology Resident (Department of Imaging,
Fundación Santa Fe de Bogotá.
Radiology program of Universidad El Bosque.Bogotá,
Colombia).
Jesica Echeverry Muñoz. Pediatric Imaging Fellow (Fellow at program of Universidad Nacional de Colombia.
Bogotá,
Colombia).
Luz Ángela Moreno Gomez. Radiologist Pediatric imaging (Radiology teacher Universidad Nacional de Colombia.
Department of Imaging,
Fundación Hospital Pediátrico La Misericordia.
Bogotá,
Colombia).
Mónica Royero Arias. Radiologist Pediatric Imaging (Department of Imaging,
Hospital Universitario de San Vicente Fundación.
Medellín,
Colombia).
References
Gomez CK,
Schiffman SR,
Bhatt AA.
Radiological review of skull lesions.
Insights Imaging.
2018 Oct;9(5):857-882.
Ugga L,
Cuocolo R,
Cocozza S,
et al.Spectrum of lytic lesions of the skull: a pictorial essay.
Insights Imaging.
2018 Oct;9(5):845-856.
Rodriguez DP,
Orscheln ES,
Koch BL.Masses of the Nose,
Nasal Cavity,
andNasopharynx in Children.Radiographics.
2017 Oct;37(6):1704-1730.
Colas L,
Caron S,
Cotten A.
Skull Vault Lesions: A Review.
AJR Am JRoentgenol.
2015 Oct;205(4):840-7.
Guler I,
Buyukterzi M,
Oner O,
Tolu I.
Post-traumatic leptomeningeal cyst in achild: computed tomography and magnetic...