Calvarial Sclerosing OsteomyelitisKlisch J. · Spreer J. · Bötefür I. · Gellrich N.-C. · Adler C.P. · Zentner J. · Schumacher M.
Departments of aNeuroradiology, bNeuropathology, cOral and Maxillofacial Surgery, dPathology and eNeurosurgery, University of Freiburg, Germany
We report a 15-year-old boy who suffered from calvarial sclerosing osteomyelitis and presented with painful head swelling. X-rays of the skull revealed areas of irregular radiolucency. MR imaging and CT showed a well-demarcated intradiploic lesion with thickening of the skull extending from the frontal to the parietal calvarium with a low signal on T1-weighted images, strong but heterogeneous enhancement after gadolinium application and a mixed signal on T2-weighted images. Computer-navigated neurosurgery was planned, and the craniotomy defect was reconstructed by a preformed titanium implant. Sclerosing osteomyelitis of the calvarium has to be included in the differential diagnosis of osteolytic and sclerosing lesions of the skull coinciding with persistent swelling of the head.
Dr. Joachim Klisch
Department of Neuroradiology, University of Freiburg
Breisacher Strasse 64
D–79106 Freiburg (Germany)
Tel. +49 761 2705180, Fax +49 761 2705195, E-Mail Klisch@nz11.ukl.uni-freiburg.de
Received: Received: October 22, 2001
Accepted: December 3, 2001
Number of Print Pages : 5
Number of Figures : 4, Number of Tables : 0, Number of References : 12
Founded 1985 by E.B. Hendrick and D.H. Reigel; Editor-in-Chief 1992–1996: F.J. Epstein
Official Journal of the American Society of Pediatric Neurosurgeons (ASPN)
Vol. 36, No. 3, Year 2002 (Cover Date: March 2002)
Journal Editor: D.G. McLone, Chicago, Ill.
ISSN: 1016–2291 (print), 1423–0305 (Online)
For additional information: http://www.karger.com/journals/pne