Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma
Biparietal osteodystrophy (bilateral parietal bone thinning) is a rare but well-documented phenomenon characterized by symmetric thinning of the parietal bones of the skull. It predominantly affects older adults, particularly women. We report the case of an 86-year-old woman who was incidentally dia...
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Elsevier
2025-10-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325006624 |
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| author | Nur Hanani Binti Ruzman, MD, MMed Thai Hau Koo, MD Idris Bin Ibrahim, MD, MMed Azzam Baseri Huddin, MD, MMed Andee Dzulkarnaen Zakaria, MD, Mmed Fathinul Fikri Ahmad Saad, MD, MMed Mohd Hazeman Zakaria, MD, MMed |
| author_facet | Nur Hanani Binti Ruzman, MD, MMed Thai Hau Koo, MD Idris Bin Ibrahim, MD, MMed Azzam Baseri Huddin, MD, MMed Andee Dzulkarnaen Zakaria, MD, Mmed Fathinul Fikri Ahmad Saad, MD, MMed Mohd Hazeman Zakaria, MD, MMed |
| author_sort | Nur Hanani Binti Ruzman, MD, MMed |
| collection | DOAJ |
| description | Biparietal osteodystrophy (bilateral parietal bone thinning) is a rare but well-documented phenomenon characterized by symmetric thinning of the parietal bones of the skull. It predominantly affects older adults, particularly women. We report the case of an 86-year-old woman who was incidentally diagnosed with this condition after a minor head injury. She presented with a low-impact fall and underwent neuroimaging to exclude intracranial hemorrhage. Computed tomography (CT) of the head revealed bilateral concave thinning of the parietal bones with an intact inner table, and no acute fracture or hemorrhage. A comprehensive workup, including metabolic and endocrine tests, showed no secondary causes of bone loss. Neurosurgical evaluation confirmed that no intervention was required. The patient was managed conservatively and advised on fall prevention measures, given the increased risk of skull fracture and brain injury in the presence of severe calvarial thinning. This case highlights the importance of recognizing biparietal osteodystrophy on imaging and distinguishing it from more acute pathologies as well as the need for appropriate counseling regarding its clinical implications. |
| format | Article |
| id | doaj-art-920bfe40ae3640089e3b70b8cd451e0a |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-920bfe40ae3640089e3b70b8cd451e0a2025-08-20T03:33:30ZengElsevierRadiology Case Reports1930-04332025-10-0120105276528010.1016/j.radcr.2025.06.118Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head traumaNur Hanani Binti Ruzman, MD, MMed0Thai Hau Koo, MD1Idris Bin Ibrahim, MD, MMed2Azzam Baseri Huddin, MD, MMed3Andee Dzulkarnaen Zakaria, MD, Mmed4Fathinul Fikri Ahmad Saad, MD, MMed5Mohd Hazeman Zakaria, MD, MMed6Department of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, MalaysiaDepartment of Internal Medicine, School of Medical Sciences, Hospital Pakar Universiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaDepartment of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, MalaysiaDepartment of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, MalaysiaDepartment of Surgery, School of Medical Sciences, Hospital Pakar Universiti Sains Malaysia, Kubang Kerian, Kelantan, MalaysiaDepartment of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, MalaysiaDepartment of Radiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia; Corresponding author.Biparietal osteodystrophy (bilateral parietal bone thinning) is a rare but well-documented phenomenon characterized by symmetric thinning of the parietal bones of the skull. It predominantly affects older adults, particularly women. We report the case of an 86-year-old woman who was incidentally diagnosed with this condition after a minor head injury. She presented with a low-impact fall and underwent neuroimaging to exclude intracranial hemorrhage. Computed tomography (CT) of the head revealed bilateral concave thinning of the parietal bones with an intact inner table, and no acute fracture or hemorrhage. A comprehensive workup, including metabolic and endocrine tests, showed no secondary causes of bone loss. Neurosurgical evaluation confirmed that no intervention was required. The patient was managed conservatively and advised on fall prevention measures, given the increased risk of skull fracture and brain injury in the presence of severe calvarial thinning. This case highlights the importance of recognizing biparietal osteodystrophy on imaging and distinguishing it from more acute pathologies as well as the need for appropriate counseling regarding its clinical implications.http://www.sciencedirect.com/science/article/pii/S1930043325006624Parietal boneOsteodystrophyBiparietalComputed tomography |
| spellingShingle | Nur Hanani Binti Ruzman, MD, MMed Thai Hau Koo, MD Idris Bin Ibrahim, MD, MMed Azzam Baseri Huddin, MD, MMed Andee Dzulkarnaen Zakaria, MD, Mmed Fathinul Fikri Ahmad Saad, MD, MMed Mohd Hazeman Zakaria, MD, MMed Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma Radiology Case Reports Parietal bone Osteodystrophy Biparietal Computed tomography |
| title | Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma |
| title_full | Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma |
| title_fullStr | Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma |
| title_full_unstemmed | Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma |
| title_short | Biparietal osteodystrophy in an 86-year-old woman: An incidental finding following minor head trauma |
| title_sort | biparietal osteodystrophy in an 86 year old woman an incidental finding following minor head trauma |
| topic | Parietal bone Osteodystrophy Biparietal Computed tomography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325006624 |
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