Differential diagnosis for two ‘holes in the head’ of a child from 982 to 904 BP in northern South America

To present paleopathological evidence of a congenital anomaly with photographic support and a review that will help scholars to diagnose the condition. Well-preserved skeletal remains of a child from central Colombia, dated 968–1046 CE. Macroscopic examination and computerized axial tomography. Two holes were observed in the skull. The pathology is consistent with a neural tube defect or an inclusion cyst. Neural tube defects and inclusion cysts, in paleopathology, are rarely reported in children. The preservation and origin of the individual make this case valuable. The photographic support and the review is useful for other scholars in the field. It was not possible to determine a single cause. Review cases in identified osteological collections.