Opinion Paper

Tips for the Radiologist: Clarifying lucent oval skull markings in children - Craniolacunia, convolutional markings and copper-beaten skull

S. Andronikou, C. Welman, E. Kader
South African Journal of Radiology | Vol 5, No 1 | a1497 | DOI: https://doi.org/10.4102/sajr.v5i1.1497 | © 2018 S. Andronikou, C. Welman, E. Kader | This work is licensed under CC Attribution 4.0
Submitted: 16 July 2018 | Published: 28 February 2001

About the author(s)

S. Andronikou, Department of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's Hospital, South Africa
C. Welman, Department of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's Hospital, South Africa
E. Kader, Department of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's Hospital, South Africa

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Abstract

Large oval lucencies seen on the paediatric skull radiograph (SXR) may be normal or pathological. The radiologist, however, must be clear about which findings are pathological and the appropriate terminology when reporting on a paediatric SXR. By noting the clinical setting, the age of the patient and associated skull abnormalities, the appropriate terms can be used so that normal convolutional markings can be distinguished from accentuated markings of copper (silver)-beaten skull in raised intracranial pressure (ICP) and the lacunae in patients with Lückenschadel accompanying spinal dysraphism.


Keywords

craniolecurtie; convolutional markings; copper-beaten skull

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