Heterotopic brain tissue in the scalp

A posterior midline cutaneous lesion in the scalp of a 15-month-old child was excised. Clinical examination, extensive investigations and finally surgery revealed no intracranial connection. Histologically, the lesion was composed of well differentiated meningeal, glial and cerebral tissues, establi...

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Bibliographic Details
Published in:British journal of plastic surgery 1995, Vol.48 (5), p.332-334
Main Authors: Van Geertruyden, J.P., Fourez, T.J., Hansen, P., Heimann, P.E., Brion, J.-P.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Brain
Choristoma - diagnosis
Choristoma - pathology
Diagnosis, Differential
Encephalocele - diagnosis
Humans
Infant
Male
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system as a whole
Neurology
Scalp - pathology
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Summary:A posterior midline cutaneous lesion in the scalp of a 15-month-old child was excised. Clinical examination, extensive investigations and finally surgery revealed no intracranial connection. Histologically, the lesion was composed of well differentiated meningeal, glial and cerebral tissues, establishing it to be heterotopic brain tissue. Even when all preoperative procedures exclude the diagnosis of cephaloceles, surgeons should keep in mind the possibility of an intracranial connection of any midline scalp lesion in a child and the subsequent risk of meningitis.
ISSN:0007-1226
1465-3087
DOI:10.1016/0007-1226(95)90074-8