Growing skull fracture of the orbital roof

Bayar, Mehmet Akif; İplikçioğlu, A. Celal; Kökeş, Fatih; Gökçek, Cevdet

doi:10.1016/0090-3019(94)90212-7

Cited by 27 publications

(21 citation statements)

References 13 publications

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“…Other common presenting symptoms and signs include focal neurological deficits, raised intracranial pressure and seizures [8, 10]. When the orbital roof is affected, the clinical picture is predominated by ocular symptoms, such as diplopia, swollen eyelid, displaced globe and restricted eye movement [9, 10]. In our case, there was only swollen eyelid.…”

Section: Discussionmentioning

confidence: 84%

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Growing Skull Fracture of the Orbital Roof

Koç¹,

Kurtsoy²,

Oktem³

et al. 1999

Pediatr Neurosurg

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Growing skull fractures are rare complications of head trauma and very rarely arise in the skull base. The clinical and radiological finding and treatment of a growing fracture of the orbital roof in a 5-year-old boy are reported, and the relevant literature is reviewed. The clinical picture was eyelid swelling. Computed tomography (CT) scan was excellent for demonstrating the bony defect in the orbital roof. Frontobasal brain injury seems to play an important role in the pathogenesis of the fracture growth. Growing skull fracture of the orbital roof should be considered in the differential diagnosis in cases of persistent ocular symptoms. Craniotomy with excision of gliotic brain and granulation tissue, dural repair and cranioplasty is the treatment of choice.

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Section: Discussionmentioning

confidence: 84%

“…They are mostly located in the frontal and parietal regions [7, 8]but may occasionally develop in the skull base. We were able to find only 2 cases with growing fracture of the orbital roof in the current literature [9, 10]. …”

Section: Introductionmentioning

confidence: 99%

Growing Skull Fracture of the Orbital Roof

Koç¹,

Kurtsoy²,

Oktem³

et al. 1999

Pediatr Neurosurg

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“…Growing fractures are rarely seen in the skull base. In an extensive review of the relevant literature, we found that six cases of growing fractures of the orbital roof have previously been reported (table 1) [14, 15, 16, 17, 18, 19]. The patients with orbital roof growing fractures presented with diplopia, swollen eyelid, displaced globe and restricted eye movements after a latent silent period of varying length [14, 15, 16, 17, 18, 19].…”

Section: Discussionmentioning

confidence: 99%

Growing Fractures of the Orbital Roof

Suri

Mahapatra

2002

Pediatr Neurosurg

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Growing fractures rarely arise in the skull base. Only six cases of orbital roof growing fractures were found in the relevant literature. We report two such cases. The first case was a 2-year-old girl who had progressive proptosis for 6 months following a mild head injury 1 year previously. The second case was a 9-year-old girl with a history of injury at the age of 3 months. She developed eye deviation and proptosis for 1 year. Computed tomography scan is excellent for demonstrating bony defects in the orbital roof, while magnetic resonance imaging is more sensitive in showing the intraorbital extension of a leptomeningeal cyst. Both patients were operated successfully and proptosis disappeared postoperatively. The exact pathophysiology of growing fractures is still debated in the literature, but a dural laceration along a fracture line is noted in all cases, and frontobasal brain injury seems to play an important role in the pathogenesis of the fracture growth. Growing fractures of the orbital roof should be suspected if ocular symptoms appear in a child who had sustained a head injury several months or years before.

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“…14) Disruption of the dura mater appears to be essential in the formation of intraorbital encephaloceles, through which the pulsation of the brain gradually erodes bony structures. 1,3) A gradient between the pressure in the subarachnoid space and the intraorbital compartment may also be important, particularly in intraorbital encephaloceles. 2) Children with orbital roof fractures associated with frontal cerebral contusions are at greater risk for developing intraorbital encephaloceles.…”

Section: Discussionmentioning

confidence: 99%

“…6,11) Treatment choices for intraorbital encephaloceles include surgical reconstruction of the skull base and duraplasty. 3,12,13) Here, we describe a patient who presented with pulsatile exophthalmos with intraorbital encephalocele and was successfully treated by skull base reconstruction with titanium mesh plate and duraplasty.…”

Section: Introductionmentioning

confidence: 99%

Intraorbital Encephalocele in an Adult Patient Presenting With Pulsatile Exophthalmos -Case Report-

Morihara¹,

Zenke

Shoda

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 25-year-old man presented with an intraorbital encephalocele manifesting as progressive left pulsatile exophthalmos. He had a history of frontal lobe contusion from a motorbike accident 10 years before the onset of the symptom. Computed tomography and magnetic resonance imaging revealed an ovalshaped defect in the left orbital roof with an underlying intracranial cystic lesion, herniated into the orbit. Intraoperative findings included disruption of the dura mater around the bony defect. The loculated arachnoid membrane and protruding brain tissue were excised with primary dural closure and reconstructive cranioplasty with a titanium mesh. The postoperative course was uneventful, and the pulsatile proptosis disappeared immediately after the procedure. Intracranial cyst may be important in the development of progressive pulsatile exophthalmos and intraorbital encephalocele.

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Growing skull fracture of the orbital roof

Cited by 27 publications

References 13 publications

Growing Skull Fracture of the Orbital Roof

Growing Skull Fracture of the Orbital Roof

Growing Fractures of the Orbital Roof

Intraorbital Encephalocele in an Adult Patient Presenting With Pulsatile Exophthalmos -Case Report-

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