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Case of the Month: February 2026

Case history

  • 45-year-old patient was found to have an incidental right frontal lobe lesion.
  • On examination, there was thinning of the subcutaneous tissue over the ipsilateral forehead.

linear_scleroderma_1

Click to reveal diagnosis

Linear Scleroderma (En Coup de Sabre)

  • The subcutaneous thinning over the forehead represented an en coup de sabre deformity.
  • MRI showed an enhancing lesion with siderosis and subtle calcification.
  • Enhancement within the lesion decreased without treatment, leaving a peripherally enhancing cavity.

  • Linear scleroderma en coup de sabre is a rare form of localised scleroderma with ipsilateral cerebral involvement, typically presenting with seizures or focal neurological deficits.

  • View a prior Case of Month