A case of bilateral thinning of the cranial bones in an elderly individual

Q3 Medicine

Morphologie Pub Date : 2025-05-07 DOI:10.1016/j.morpho.2025.100967

D. Botha , T. Lottering , D.M. Brits , E. Hutchinson

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引用次数: 0

Abstract

Background

Bilateral thinning of the parietal bone is a condition that has been known since the 18th century, with several names being given since its discovery. The aetiology is unknown but there are numerous theories. Although this condition is rarely encountered, its clinical significance may be relevant to traumatic cases.

Objectives

This study aims to present a case of bilateral thinning observed in the cranium of an 87-year elderly female, which was assessed macroscopically and radiologically to visualize the exact parameters of the thinned areas to discuss a plausible cause and aetiology of the condition.

Methods

During maceration for teaching purposes, the cranium was removed and assessed macroscopically. A micro-CT was then taken to determine the exact size and cranial thickness of the lesions.

Results

A differential diagnosis was established which included an unknown aetiology or Gorham-Stout disease. In addition, it was noted that metabolic factors, such as malnutrition and metabolic acidosis, should be considered as factors for increasing its severity.

Conclusion

Case studies on the presence of bilateral thinning of the parietal bones has been reported in various countries, while no case studies could be found reporting the presence of bilateral thinning on both the parietal and occipital bones. The combination of thinning reported in this study may suggest increased severity of a more advanced state of the condition.

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老年人双侧颅骨变薄1例

双侧顶骨变薄是一种自18世纪以来就为人所知的疾病，自从它被发现以来，人们给它起了几个名字。病因尚不清楚，但有许多理论。虽然这种情况很少遇到，但其临床意义可能与创伤病例有关。本研究旨在报告一位87岁老年女性双侧颅骨变薄的病例，通过宏观和放射学评估，以可视化变薄区域的确切参数，以讨论该疾病的合理原因和病因。方法在教学浸渍过程中，切除颅骨，进行宏观评价。然后采用微型ct来确定病变的确切大小和颅骨厚度。结果建立了病因不明或Gorham-Stout病的鉴别诊断。此外，有人指出，代谢因素，如营养不良和代谢性酸中毒，应被视为增加其严重程度的因素。结论各国均有关于双侧顶骨变薄的病例研究报道，但未发现双侧顶骨和枕骨同时变薄的病例研究。本研究中报告的变薄的组合可能表明病情的更高级状态的严重程度增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Morphologie Medicine-Anatomy

CiteScore

2.30

自引率

0.00%

发文量

150

审稿时长

25 days

期刊介绍： Morphologie est une revue universitaire avec une ouverture médicale qui sa adresse aux enseignants, aux étudiants, aux chercheurs et aux cliniciens en anatomie et en morphologie. Vous y trouverez les développements les plus actuels de votre spécialité, en France comme a international. Le objectif de Morphologie est d?offrir des lectures privilégiées sous forme de revues générales, d?articles originaux, de mises au point didactiques et de revues de la littérature, qui permettront notamment aux enseignants de optimiser leurs cours et aux spécialistes d?enrichir leurs connaissances.