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

Abstract EN

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 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 of encephalocraniocutaneous lipomatosis and a differential diagnosis are presented.