An Aberrant Line on CT Head: The Mendosal Suture

A knowledge of variant anatomy is important in clinical practice. The skull bones have several normal anatomical variations, especially in the occipital bone. Accessory sutures have been described in newborns and young children. In this study, we discussed radiological findings of an accessory occipital suture in a 14-year-old child who had presented with mastoiditis and brain abscess. We further describe this “mendosal suture,” and its pathophysiology and clinical implications. It is important to bear this entity in mind to avoid misdiagnosing this as a fracture. The use of CT scans and 3D CT using volume rendering technique (VRT) helps in detection and correct diagnosis.