title: Tip of an Iceberg: Skull Fracture as an Adult Presentation of Encephalocraniocutaneous Lipomatosis.
abstract: 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.
authors.affiliation: Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin 9, Ireland.
authors.forename: Sinead
authors.identifier: 0000-0001-8394-045X
authors.initials: S
authors.lastname: Culleton
authors.affiliation: Lysholm Department of Neuroradiology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK; Department of Radiology, The University of Melbourne, Parkville, VIC 3050, Australia.
authors.forename: Christen D
authors.initials: CD
authors.lastname: Barras
authors.affiliation: Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin 9, Ireland; School of Medicine, Faculty of Health, Deakin University, Pigdons Road, Waurn Ponds, VIC 3216, Australia.
authors.forename: Hamed
authors.identifier: 0000-0003-2475-9727
authors.initials: H
authors.lastname: Asadi
authors.affiliation: Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin 9, Ireland.
authors.forename: Seamus
authors.initials: S
authors.lastname: Looby
authors.affiliation: Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin 9, Ireland.
authors.forename: Paul
authors.initials: P
authors.lastname: Brennan
authors.affiliation: Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin 9, Ireland.
authors.forename: Hong Kuan
authors.initials: HK
authors.lastname: Kok