Hallazgo incidental de hueso interparietal wormiano en un caso de fractura múltiple de cráneo

Carlos Enrique  Mamani-Rodriguez; Carlos Alberto  Soler-Murillo; Mauricio Emanuel  De Sampaio-Ricardo; Freddy  Arias-Suárez; Mauricio Ariel  Paredes-Jarro; Pascual Rubén  Valdez-Carlomagno

doi:10.54789/rs.v1i1.5

Authors

Carlos Enrique Mamani-Rodriguez Unidad de Neurocirugía. Hospital Zonal General de Agudos “Mariano y Luciano de la Vega”. Ciudad de Moreno. Provincia de Buenos Aires. República Argentina.
Carlos Alberto Soler-Murillo Unidad de Diagnóstico por Imágenes. Hospital Zonal General de Agudos “Mariano y Luciano de la Vega”. Ciudad de Moreno. Provincia de Buenos Aires. República Argentina.
Mauricio Emanuel De Sampaio-Ricardo Universidad Nacional de La Matanza, Departamento de Ciencias de la Salud, San Justo, Argentina.
Freddy Arias-Suárez Universidad Autónoma del Beni. Escuela de Medicina. Ciudad de Trinidad. Departamento del Beni. Estado Plurinacional de Bolivia.
Mauricio Ariel Paredes-Jarro Universidad Autónoma del Beni. Escuela de Medicina. Ciudad de Trinidad. Departamento del Beni. Estado Plurinacional de Bolivia.
Pascual Rubén Valdez-Carlomagno Universidad Nacional de La Matanza, Departamento de Ciencias de la Salud, San Justo, Argentina

DOI:

https://doi.org/10.54789/rs.v1i1.5

Keywords:

skull, fracture, Wormian bone, pediatrics

Abstract

The Wormian bones are supernumerary bony cranial structures. Their origin is multifactorial, being many times related to metabolic bone diseases. In this article, the objective is to describe the finding of an interparietal Wormian bone in the context of a clinical case of multiple skull fracture due to trauma. Case report: a female pediatric patient, with no medical history, suffered a moderate traumatic brain injury. She was evaluated at the medical emergency department, finding a left parietal cephalohematoma in the clinical exam. A computed tomography was performed. It showed two linear non-displaced fractures in both parietal and occipital bones, associated with an incidental Wormian interparietal bone (os incarum). There were no intra-axial lesions. The patient was hospitalized and had a good clinical evolution until the time of discharge. At eight months follow-up, no complications were found, showing radiological improvement. Conclusion: Wormian bones constitute cranial anatomical variations. Their incidental finding in imaging studies can cause diagnostic difficulties in certain situations, as may occur in head trauma with the presence of fractures, so it is important to know their relevant characteristics.

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