Lateral skull x-ray obtained in a 15-day-old boy born with a lumbar myelomeningocele, which ruptured and was infected. Lateral skull x-ray obtained in.

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Presentation transcript:

Lateral skull x-ray obtained in a 15-day-old boy born with a lumbar myelomeningocele, which ruptured and was infected. Lateral skull x-ray obtained in a 15-day-old boy born with a lumbar myelomeningocele, which ruptured and was infected. The only treatment available for this infant at this time was antibiotics. Note typical findings of lacunar skull or Lückenschädel, with areas of lucency (short black arrows) surrounded by areas of normal attenuation (white arrows), giving a soap bubble appearance to the skull. There is widening of the coronal suture (large black arrows), concerning for increased intracranial pressure. E.G. Hoeffner et al. AJNR Am J Neuroradiol 2012;33:999-1006 ©2012 by American Society of Neuroradiology