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Grow Skull Fracture-Special Consideration on a 5 Week Old Case (Abstract)

Ciurea AV¹, Iliescu A², Sandu AM², Gheorghita A³

¹First Department of Neurosurgery, Emergency Clinical Hospital Bagdasar-Arseni, UMF “Carol Davila”

²First Department of Neurosurgery, Emergency Clinical Hospital Bagdasar-Arseni

³Anesthesiology and Intensive Care Unit, Emergency Clinical Hospital Bagdasar-Arseni

Bucharest, Romania

 

Abstract

Grow skull fracture (GSF), also known as leptomeningeal cyst, craniocerebral erosion or posttraumatic cephalocele, is a rare complication of skull fracture, mainly encountered during infancy and early childhood, characterized by progressive enlargement of diastatic fracture line, along with leptomeningeal cyst and brain hernia.

We report a case of a 5 weeks old girl, who suffered a head trauma. Following trauma the child developed a progressive growing right frontal mass. CT-scan and 3D reconstruction CT-scan showed the skull defect, leptomeningeal cyst, and brain herniation protruding through the fracture line. History trauma, child’s age, history of progressive growing mass following trauma, clinical examination at admission and imagistic studies conducted to the diagnostic of GSF.

The child was operated. Postoperative antiepileptic therapy was initiated. The patient has good outcome, without neurological deficits or seizure under therapy. Grow skull fracture is specific posttraumatic lesion in infants and young children. Surgery is always required to prevent neurological deficits and/or seizures occurrence. Cranioplasty is not indicated in infants.

Key words: grow skull fracture, leptomeningeal cyst, craniocerebral erosion, posttraumatic cephalocele, infant, trauma

 

 

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