Background: To our knowledge, there have been only two reported cases of patients with osteolytic skull lesions secondary to head trauma without concomitant skull fracture.

Methods: We present a case of skull bone lysis, not associated with skull fracture in a 20-year-old male, after mild head injury. During surgery, tumorous skull tissue of benign appearance was excised and primary cranioplasty was performed.

Results: The pathological examination showed an inflammatory reactive process within the bone lesion. Three years after surgery the patient was asymptomatic and studies did not show any new bone changes.

Conclusions: The authors draw attention to this exceptionally rare condition, pointing out the necessity of surgical biopsy, contrary to some opinions.

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http://dx.doi.org/10.1016/s0090-3019(98)00010-xDOI Listing

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