• DOI:10.3171/JNS.1964.21.6.0479
• Corpus ID: 37197365

ECTOPIC NEURAL TISSUE OF OCCIPITAL BONE.

@article{Goldring1964ECTOPICNT,
  title={ECTOPIC NEURAL TISSUE OF OCCIPITAL BONE.},
  author={Sidney Goldring and F H Hodges and Sarah A. Luse},
  journal={Journal of neurosurgery},
  year={1964},
  volume={21},
  pages={
          479-84
        }
}

• S. Goldring, F. Hodges, S. Luse
• Published 1 June 1964
• Medicine
• Journal of neurosurgery

A 57-year-old laborer was admitted to tile Washington University Neuromedical Service on Dec. ~0, 1961. t For many years he experienced intermittent frontal headaches which were attributed to sinusitis. Approximately ~ weeks before admission headache of a different quality developed, the pain being more generalized and constant in nature. On the day of admission he became drowsy, slept a great deal, and talked incoherently. Examination. Significant physical findings were lethargy, confusion, mild left hemiparesis, a dilated left pupil which reacted poorly to light, bilateral extensor toe signs and a pulse rate of 56. The optic fundi were normal. Laboratory findings, including hemogram, urinalysis, urea nitrogen, blood sodium, potassium, chloride and CO2, were normal. Films of the skull (Fig. 1) were interpreted by the neuroradiologist as follows: " In general the osseous and soft tissues are normal with evidence of bilateral trigonal choroidal calcification and no calcification of the pineal body. There are multiple fairly discrete lytic defects in the occipital bone beneath the groove of the transverse sinus having a soapbubble appearance and thought to represent some benign process, not specifically understood. However, it is not possible on the basis of the appearance alone to differentiate the cause of these lesions from such diseases as multiple myeloma and metastatic carcinoma. The remainder of the calvarium is normal." The patient was considered to have an expanding intracranial lesion and therefore was trans-