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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes An Indentation At The Back Of The Skull?

The other night my 16 year old daughter was rubbing the back of her and and ask if any of us had a hole in our head. She stated she had one that wasn t there before, so I examined it. On the back right of the skull there is an indention about the size of a thumb print. It is sore to the touch and she feels pressure from it. She does have headaches but none of them would be considered strong. It is like a sinkhole has started to the back of her head. She has not had any accidents to the head. She was taken to her general doctor and he was talking about pushing the skull back out and wanted an xray. Took her to get the xray and the doctor there said she didn t need an xray, that she needed a cat scan. He stated it was a hematoma and ordered the cat scan with a dye. We are trying to get this appointment set now. To say we are all nervous is an understatment. She was born a premature 16 years ago weighing 2 lbs 3 ounces. Doesn t matter where I look for answers I am either getting it is due to dehydration and stress to hematoma. Any suggestions?
Mon, 6 May 2019
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Neurologist 's  Response
Hi,

You are talking something that our daughter also has as well as our son. It's called Nonsyndromic Aplasia Cutis Congenita. It's actually more common than you think though it is hardly reported unless serious complications develop and those are usually apparent at birth or shortly after.

Your daughter is fine except she just discovered this now so things are little freaky. When our daughter when was born as a 26-week preemie we thought it was because of that... not so. My son also has it and he was born on time. I believe one of our other daughters also has something similar. I would not go through a lot of testing (unnecessary X-rays and CT scans which emit about 200x the X-ray radiation that a normal X-ray does) and maybe even suggest that the doctors counseling with all these elaborate things from hematomas to skull defects that need to be "pushed back the other way??"... are you serious on that one??....have them take a look at the following link and be ready for the next person who asks because as I said....it's not often reported or written about but it is so common that it's "quasi" scary. But...... it's a totally benign condition. I'll be happy to look at what your daughters look like and tell you if it's similar to my daughter or son. No sinkhole is developing and your daughter shouldn't manipulate it or mess around it or press on it...that's a good way to get it irritated or scratched and infected....just know that it's there. Her kids may end of having it...and maybe if someone who knew what they were looking for checked the scalps of you or your husband...you may surprisingly find something similar since this is a genetically passed on a trait that you never knew was there.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi, Neurologist
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What Causes An Indentation At The Back Of The Skull?

Hi, You are talking something that our daughter also has as well as our son. It s called Nonsyndromic Aplasia Cutis Congenita. It s actually more common than you think though it is hardly reported unless serious complications develop and those are usually apparent at birth or shortly after. Your daughter is fine except she just discovered this now so things are little freaky. When our daughter when was born as a 26-week preemie we thought it was because of that... not so. My son also has it and he was born on time. I believe one of our other daughters also has something similar. I would not go through a lot of testing (unnecessary X-rays and CT scans which emit about 200x the X-ray radiation that a normal X-ray does) and maybe even suggest that the doctors counseling with all these elaborate things from hematomas to skull defects that need to be pushed back the other way?? ... are you serious on that one??....have them take a look at the following link and be ready for the next person who asks because as I said....it s not often reported or written about but it is so common that it s quasi scary. But...... it s a totally benign condition. I ll be happy to look at what your daughters look like and tell you if it s similar to my daughter or son. No sinkhole is developing and your daughter shouldn t manipulate it or mess around it or press on it...that s a good way to get it irritated or scratched and infected....just know that it s there. Her kids may end of having it...and maybe if someone who knew what they were looking for checked the scalps of you or your husband...you may surprisingly find something similar since this is a genetically passed on a trait that you never knew was there. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist