Such pseudo imaging might have accounted for even puzzler case given that it was the very localization of the artificial hole which initially suggested the surgery made for reasons other than treating the supratentorial trauma, i.e. Although CT scans in a prior study confirmed normal air cell appearance in both mastoids and pyramids, the sediment matrix imaged as seemingly “increased” radiographic opacities (“dense“ greyish X-ray shadows), in the air cell system of the trepanned mastoid and concomitant pyramid (base) – where should have been air opacity (imaged black), tended to be suggestive of possibly “reduced” pneumatic spaces. This paper aims to discuss, additionally, “issues” with diagnosing “increased” opacities in the air cell system of the trepanned mastoid and concomitant temporal pyramid scored from initial screening by plain film radiography. So far unique “history case” of infratentorial trepanation, appeared in combination with supratentorial fracture indicative of a onetime trauma whose therapeutic treating was eventually hypothesized as a possible reason for performing such surgery – due to lack of CT evidence of otopathology. In a prior study, we reported on bone and CT evidence of an antemortal mastoid trepanning in a deceased from the 11th century AD cemetery Zvonimirovo (Northern Croatia).
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