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Intrauterine growing skull fracture
S D Moss1, M L Walker, S Ostergard
1Division of Neurosurgery, Primary Children's Medical Center, Salt Lake City, UT 84103.
Summary
Growing skull fractures with leptomeningeal cysts are rare in newborns. This case report details a newborn with bilateral fractures and a unilateral cyst, highlighting the need for prompt imaging.
Area of Science:
- Pediatric Neurosurgery
- Neonatal Imaging
Background:
- Growing skull fractures are uncommon consequences of head trauma.
- Leptomeningeal cysts associated with these fractures are rarely documented in neonates.
Observation:
- A newborn presented with bilateral parietal fractures.
- A unilateral leptomeningeal cyst was detected at birth.
Findings:
- This case represents the first reported instance of growing skull fractures with leptomeningeal cyst formation in the perinatal period.
- Radiographic evaluation, including skull films, CT, and MRI, is crucial for diagnosis.
Implications:
- Early diagnosis and management are essential for favorable outcomes in neonates with this rare condition.
- This case expands the understanding of the presentation and timing of growing skull fractures and leptomeningeal cysts.