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Various lesions can affect the vault of the skull, usually asymptomatic and of incidental discovery, but can also present as a swelling with or without local pain. We report a retrospective study of 20 cases collected in the neurosurgery department at HMPIT over a 17-year period from January 1, 2000 to December 31, 2016.The mean age was 47.7 years, with extremes ranging from 20 to 75 years, with a slight male predominance and a sex ratio of 1.2.An incidental finding of an arch lesion was found in 3 cases.Frontal location was the most common, accounting for 45% of cases, followed by parietal location (35%).Histological examination of the surgical specimen was carried out in all our patients, confirming our suspicion of a diagnosis.Secondary localization was common in 9 cases, with breast cancer in 2 and thyroid cancer in 2.Most of these patients reported clinical improvement following surgery or radiotherapy, and the prognosis for tumors of the vault will depend on the etiology.
About the author
Dra. Achoura Sameh Profesora Asociada de Neurocirugía en el Hospital Militar Principal de Instrucción de Túnez
