New right-sided motor-sensory disturbance.
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Extensive nodular laminar calcification of the falx cerebri, tentorium cerebelli, and petroclinioid ligaments.
Trigonal appearance of the anterior skull with a midline bony defect.
No parenchymal abnormality.
Dural and tentorial calcifications are typically in a laminar pattern and can vary in amount. It is usually observed in the elderly population, with some exceptions.
This was an exceptionally young patient for such a profound amount of dural and tentorial calcification.
Clinical inquiries established the patient had known Gorlin-Goltz syndrome, of which dural and tentorial calcification is a recognized feature.