Tip of an Iceberg: Skull Fracture as an Adult Presentation of Encephalocraniocutaneous Lipomatosis

Tip of an Iceberg: Skull Fracture as an Adult Presentation of Encephalocraniocutaneous Lipomatosis

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The severity of seizures presenting to the emergency department ranges from benign to life threatening.There are also a wide number of possible etiologies.Computed tomography (CT) emergency imaging may be required at presentation to elucidate a possible cause and assess signs of intracranial trauma.This lore olivera case describes a serious seizure episode in a young man while on holiday.A CT brain showed a skull fracture as a consequence of seizure-related head trauma but unexpectedly there were image findings consistent with encephalocraniocutaneous lipomatosis.

The important radiological features illamasqua bon of encephalocraniocutaneous lipomatosis and a differential diagnosis are presented.