Untreated Growing Cranial Fractures Detected in Late Stage

Kutlay, Murat; Demircan, Nusret; Akın, Osman; Başekim, C. Çınar

doi:10.1097/00006123-199807000-00045

Cited by 34 publications

(16 citation statements)

References 29 publications

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“…After increasing to a certain size, the bone defect ceases to enlarge further [4,30]. However, Kutlay et al [31] and Ziyal et al [32] reported recently that GSFs may show a progression after a resting period and cause a delayed onset of neurological manifestations. In our patients, the time from injury to the beginning of the enlargement ranged from 1 to 36 weeks (mean: 7.7 weeks).…”

Section: Discussionmentioning

confidence: 99%

Growing skull fractures (craniocerebral erosion)

Erşahin¹,

Gülmen

Palali

et al. 2000

Neurosurg Rev

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The incidence of growing skull fractures ranges from less than 0.05% to 1.6%. We reviewed 22 growing skull fracture patients retrospectively. There were 15 boys and seven girls ranging in age from newborn to 6 years (mean: 12.4 months) at the time of injury. Falling was the most frequent cause of injury. In total, 17 patients presented with a scalp mass. The scalp was sunken over the bone defect in three patients. Other symptoms and signs were seizure in five patients, hemiparesis in four, recurrent meningitis in one, and pulsatile exophthalmus in one. The most common location was the parietal region. The extent of dural defect was always greater than that of bony defect, except in one case that had been previously shunted for hydrocephalus. In another patient with a growing fracture in the posterior cranial fossa, the dural edges could not be exposed, although a wide craniotomy was performed. Therefore, a cystoperitoneal shunt was inserted. Gliotic tissue was present in all the patients. Cyst or cystic lesions were observed in only nine patients, duraplasty was performed in 21, 16 were neurologically intact, and six had minor deficits. All patients under the age of 3 years with a diastatic skull fracture should be closely followed up. A sustaining diastatic fracture and brain herniation through the skull defect shown on CT or MRI imply a growing skull fracture.

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Section: Discussionmentioning

confidence: 99%

Growing skull fractures (craniocerebral erosion)

Erşahin¹,

Gülmen

Palali

et al. 2000

Neurosurg Rev

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“…2 However, headache is a common presentation of untreated GSFs in late stages. 14 The plain X-ray reveals an irregular oval or elliptical skull defect. The fracture line can be seen at one end of the defect.…”

Section: Discussionmentioning

confidence: 99%

“…13,14,21,22 Hayashi et al have shown that methylmethacrylate is a suitable material for cranioplasty for GSF. 23 Duraplasty and cranioplasty with methylmethacrylate were performed in order to correct the skull deformity and stop the progression of the neurological deficits of our patient.…”

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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“…It usually presents as enlarging cranial fracture though it can also present as headache, seizures, and hemi paresis many years later (Kutlay et al, 1998). The most vulnerable age group is less than 3 years.…”

Section: Introductionmentioning

confidence: 99%

Post-Traumatic Leptomeningeal Cyst in Child: A Case Report and Review of Literature

Sukheeja¹,

Dawar²,

Mch³

et al. 2013

IJCRM

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Leptomeningeal cyst or growing skull fracture is a rare complication of cranial fractures that is usually seen in infants and early childhood following trauma. It presents as cystic, nontender swelling over scalp with underlying bony defect due to old history of trauma. We hereby report one such case along with histopathology. Its early diagnosis is essential for clinicians for a targeted approach so as to avoid occurrence of complications.

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Untreated Growing Cranial Fractures Detected in Late Stage

Cited by 34 publications

References 29 publications

Growing skull fractures (craniocerebral erosion)

Growing skull fractures (craniocerebral erosion)

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

Post-Traumatic Leptomeningeal Cyst in Child: A Case Report and Review of Literature

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