Growing Skull Fracture after Minor Closed-Head Injury

Vignes, Jean‐Rodolphe; Jeelani, N. U. O.; Jeelani, Ashfaq; Dautheribes, M.; Liguoro, Dominique

doi:10.1016/j.jpeds.2007.04.041

Cited by 22 publications

(17 citation statements)

References 21 publications

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“…[21] It has been suggested that small skull and dural defects are easier to repair in the early phase, while the encephalomalacia and progressive loss of parenchymal tissue are likely to result in irreversible complication at the late stage. [15][16][17][18][19][20][21][22] In our series, all the patients also had an early diagnosis and prompt surgery with an excellent outcome. Thus, it is prudent to diagnose GSF early for good surgical outcomes.…”

Section: Discussionmentioning

confidence: 94%

“…Although there was no study specifically comparing outcomes in cases of GSF with early treatment versus delayed treatment However, few studies did reveal a more favorable outcome in the early treatment group. [16][17][18][19][20][21] In theory, early treatment might reduce the secondary insults, minimize complications, and provide the best prognosis. Liu et al, retrospectively reviewed 27 patients with GSF and concluded that the accurate diagnosis and early treatment of GSF in the first 2 months resulted in a better prognosis.…”

Section: Discussionmentioning

confidence: 99%

“…There is consensus that age under 3 years is almost certainly a risk factor for GSF. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] Previous studies have also shown that cephalohematoma was an indirect sign of bone fracture. [3][4][5] Ersahin et al, stated that all of their patients with GSF had cephalohematoma.…”

Section: Discussionmentioning

confidence: 99%

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Early diagnosis and treatment of growing skull fracture

Wang

et al. 2013

Neurol India

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Early diagnosis and treatment of growing skull fracture

Wang

et al. 2013

Neurol India

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“…Etiology of GSF is multifactorial but the predominant factor in their causation is the presence of lacerated dura mater. 11,12 The pulsatile force of the brain during its maximum growth will cause cerebral or subarachnoid herniation through the lacerated dura which causes the fracture in the thin skull to enlarge. This interposition of tissue prevents osteoblasts from migrating, inhibiting fracture healing.…”

Section: Discussionmentioning

confidence: 99%

An Atypical Presentation of Growing Skull Fracture: A Case Report

Nayak¹,

Sharma²,

Batra³

et al. 2015

jemds

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A growing skull fracture (GSF) or craniocerebral erosion or leptomeningeal cyst, is characterized by progressive diastatic enlargement of fracture line. Growing skull fracture is a rare neurological complication and accounts for 1.2-1.6% of the head injury patients. GSF is generally seen in children less than 3 year of age. Authors present an atypical case of growing skull fracture in comminuted type of skull fracture which was timely and successfully managed with very good outcome. Atypical presentation, risk factors, etiopathogenesis, management and outcome in GSF is discussed along with review of literature. Delayed diagnosis and improper treatment could worsen this condition while timely surgical intervention can have excellent outcome.

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“…Child abuse, birth injury, previous cranial surgery and minor closed-head injury can also lead to GSF. 6 The skull defect is almost always associated with a dural tear. The dura adheres more tightly to bone during infancy and early childhood, and hence it is more easily torn in infants and children when a fracture occurs.…”

Section: Discussionmentioning

confidence: 99%

A Case of Growing Skull Fracture with Appearance of the Sinking Skin Flap Syndrome

Ercan¹,

Şentürk²,

Güzel³

et al. 2011

Turkiye Klinikleri J Med Sci

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1262growing skull fracture (GSF) is a progressive enlarging diastatic fracture, which occurs as a rare complication of head trauma almost exclusively in infants and children.1 Brain contusion, porencephalic cyst formation and alterations of cerebrospinal fluid circulation generally accompany the dural defect. The incidence of GSF ranges from 0.05 to 1.6% of pediatric skull fractures, and the patients generally present with scalp swelling and neurological deficits. 2,3 It is known that the scalp overlying the defect can appear flat or sunken.2,4 However, orthostatic sinking of the scalp over the GSF has not been reported. A Case of Growing Skull Fracture withAppearance of the Sinking Skin Flap Syndrome A AB BS S T TR RA AC CT T A growing skull fracture is a late complication of a traumatic linear skull fracture. Untreated growing skull fractures can be associated with headache and progressive neurological deficits. In this case report, an unusual growing skull fracture mimicking sinking skin flap syndrome is presented. An 11-year-old girl, who had had a linear skull fracture 6 years previously, presented with headache, progressive left hemiparesis and right parietal scalp swelling on supine position. The scalp overlying the bone defect was sinking on upright position like the sinking skin flap syndrome. The growing skull fracture, revealed on the plain X-ray and computed tomography, was treated by duraplasty and cranioplasty with methylmetacrilate. The symptom of headache resolved and her walk improved after the treatment.

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Growing Skull Fracture after Minor Closed-Head Injury

Cited by 22 publications

References 21 publications

Early diagnosis and treatment of growing skull fracture

Early diagnosis and treatment of growing skull fracture

An Atypical Presentation of Growing Skull Fracture: A Case Report

A Case of Growing Skull Fracture with Appearance of the Sinking Skin Flap Syndrome

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