Widening of the diploic space

Changed by Aneta Kecler-Pietrzyk, 1 May 2017

Updates to Article Attributes

Body was changed:

Widening of diploc spacerefers to diffuse, most commonly bilateral, calvarium widening secondary to extra-medullary hematopoiesis within skull.

Causes

Differential diagnosisMost commonly caused by systemic underlying pathologies such as:

  • -<p><strong>Widening of diploc space </strong>refers</p><p><strong>Differential diagnosis</strong></p>
  • +<p><strong>Widening of diploc space </strong>refers to diffuse, most commonly bilateral, calvarium widening secondary to extra-medullary hematopoiesis within skull.</p><h4><strong>Causes</strong></h4><p>Most commonly caused by systemic underlying pathologies such as:</p><ul>
  • +<li>chronic haemolytic disorders including <a href="/articles/sickle-cell-disease">Sickle cell disease</a>, <a href="/articles/thalassaemia">Thalassaemia</a>, <a href="/articles/iron-deficiency-anaemia">Iron deficiency anaemia</a>  and other chronic severe anaemias. In those cases it may be associated with vertical striations running in diploic space giving rise to characteristic <a href="/articles/hair-on-end-sign-mnemonic">Hair on end sign (mnemonic)</a>. </li>
  • +<li>metabolic disorders including <a href="/articles/renal-osteodystrophy">Renal osteodystrophy</a>, <a href="/articles/hyperparathyroidism">Hyperparathyroidism</a>
  • +</li>
  • +<li>overgrowth secondary to <a href="/articles/microcephaly">Microcephaly</a> or chronic <a href="/articles/hydrocephalus">Hydrocephalus</a>
  • +</li>
  • +<li>medication including Phenytoin <a href="/articles/phenytoin-cerebellar-degeneration">Phenytoin cerebellar degeneration</a>
  • +</li>
  • +</ul>

References changed:

  • 1. Lloret I, Server A, Taksdal I. Calvarial lesions: a radiological approach to diagnosis. (2009) Acta radiologica (Stockholm, Sweden : 1987). 50 (5): 531-42. <a href="https://doi.org/10.1080/02841850902795274">doi:10.1080/02841850902795274</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19353343">Pubmed</a> <span class="ref_v4"></span>
  • 2. Hollar MA. The hair-on-end sign. (2001) Radiology. 221 (2): 347-8. <a href="https://doi.org/10.1148/radiol.2212991231">doi:10.1148/radiol.2212991231</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/11687674">Pubmed</a> <span class="ref_v4"></span>

Systems changed:

  • Head & Neck
  • Musculoskeletal

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