[28F] Noticing indentation on skull

Patient Description

A 28-year-old female has recently noticed an indentation on the top right side of her skull along the coronal suture. She reports no associated pain, headaches, changes in vision, or neurological symptoms such as numbness, tingling, or weakness. The patient has no recollection of any significant head injuries and has had two clear CT scans of her head in December 2022. She has no past medical history of note, no known drug allergies, and is not currently on any medications except for Zoloft, which is prescribed for health anxiety. There is no known family history of skull or bone disorders.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you're noticing a normal variation in the shape of your skull. The human skull is not perfectly smooth and can have various ridges and indentations, which are often more noticeable in certain areas, such as the coronal suture.

However, there are also medical conditions that can cause changes in the shape of the skull, including:

  • Craniosynostosis: This is a rare condition where the sutures in a baby's skull fuse too early. However, this condition is typically diagnosed in infancy and is unlikely to be the cause if you're noticing this for the first time at your age.
  • Paget's disease of bone: This is a chronic disorder that can result in enlarged and misshapen bones. The skull is one of the most common sites affected by the disease. However, Paget's disease of bone usually occurs in older adults and is often associated with other symptoms, such as bone pain and headache.

Given your age, lack of other symptoms, and the fact that your CT scans in December 2022 were clear, these conditions are unlikely.

What you can do

While it's likely that what you're noticing is a normal variation, it's important to seek medical advice if you're concerned. You should:

  1. Schedule an appointment with your healthcare provider to discuss your concerns. They can examine your skull and provide reassurance or recommend further testing if needed.
  2. Monitor for any changes in the shape of your skull or the development of other symptoms. If you notice any changes or new symptoms, seek medical advice promptly.

What you should look out for

You should seek immediate medical attention if you experience:

  • Sudden, severe headaches
  • Changes in vision
  • Numbness or weakness on one side of your body
  • Difficulty speaking or understanding speech
  • Any other sudden changes in your health

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for a formal diagnosis and treatment.

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People Also Ask


What could cause an indentation on the skull without any pain or other symptoms?

Indentations on the skull without pain or other symptoms can often be a normal anatomical variation. The skull naturally has ridges and indentations, especially along sutures like the coronal suture. If there are no other symptoms and imaging tests like CT scans are clear, it is likely not a cause for concern.


Is it common for adults to notice changes in the shape of their skull?

Yes, it is possible for adults to notice changes in the shape of their skull over time. This can be due to normal anatomical variations or changes in body composition. However, significant or sudden changes should be evaluated by a healthcare provider.


What are the signs that an indentation on the skull might be a serious condition?

Signs that an indentation on the skull might be serious include the presence of symptoms such as severe headaches, changes in vision, neurological symptoms like numbness or weakness, or any sudden changes in health. These symptoms warrant immediate medical attention.


How can health anxiety affect the perception of physical symptoms?

Health anxiety can lead individuals to become overly focused on physical symptoms, sometimes perceiving normal variations as signs of illness. This can increase stress and lead to frequent medical consultations. Managing health anxiety through therapy or medication, like Zoloft, can help reduce these concerns.


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