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Case Reports in Neurological Medicine
Volume 2016, Article ID 3292654, 4 pages
Case Report

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

1Neuroradiology and Neurointerventional Service, Department of Radiology, Beaumont Hospital, Dublin 9, Ireland
2Lysholm Department of Neuroradiology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
3Department of Radiology, The University of Melbourne, Parkville, VIC 3050, Australia
4School of Medicine, Faculty of Health, Deakin University, Pigdons Road, Waurn Ponds, VIC 3216, Australia

Received 14 August 2016; Accepted 5 October 2016

Academic Editor: Norman S. Litofsky

Copyright © 2016 Sinead Culleton et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.