Cerebral edema spontaneously elevating a compound depressed fracture

Chugh, Ashish; Dang, Ramandeep Singh; Mamgain, Arvind; Husain, Mazhar; Ojha, Bal Krishna; Rastogi, Manu; Chandra, Anil

doi:10.3171/ped/2008/1/2/172

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“…We thought that frequent crying with the resulting increase in intracranial pressure caused the elevation of skull fractures. Despite the fact that cerebral edema had been presumed to result in the spontaneous elevation of depressed fractures [13], no such condition was evident in our case. …”

Section: Discussionmentioning

confidence: 45%

Spontaneous Elevation of a Ping-Pong Fracture: Case Report and Review of the Literature

et al. 2012

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Depressed skull fractures compromise 7-10% of the children admitted to hospital with a head injury. Depressed skull fractures that occur in children younger than 1 year are different from those found in older children. In neonates and infants, a depressed fracture forms an inward buckling of the bones forming a ‘cup shape', termed a ‘ping-pong fracture'. In neonates, spontaneous elevation of a ping-pong fracture after birth trauma is well documented. However, in infants, spontaneous elevation of a ping-pong fracture following head injury is extremely rare. Here, we present the case of an 11-month-old child, in whom a ping-pong fracture was spontaneously elevated within 2 h. In addition, the relevant literature is reviewed and discussed.

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Section: Discussionmentioning

confidence: 45%