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Related Concept Videos

Sutures of the Skull01:22

Sutures of the Skull

The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
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Intramembranous ossification is one of the two processes involved in the development of bones within an embryo. The flat bones of the face, most of the cranial bones, and the clavicles are formed via this process. During intramembranous ossification, the bones develop directly from sheets of undifferentiated mesenchymal connective tissue.
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Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...

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Growing skull fracture: two rare causes.

Natarajan Muthukumar1

  • 1Department of Neurosurgery, Madurai Medical College, Muruganagam 138, Anna Nagar, Madurai, 625-020, India, drnmuthukumar@yahoo.com.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|September 3, 2013
PubMed
Summary

Growing skull fractures, a rare complication of head injury in children, can occur with arrested hydrocephalus or subdural hygroma. Early diagnosis and monitoring are crucial for managing these rare pediatric head injury complications.

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Area of Science:

  • Pediatric Neurosurgery
  • Traumatic Brain Injury
  • Skull Fractures

Background:

  • Growing skull fractures are infrequent complications following pediatric head trauma.
  • Existing literature has not documented cases of growing skull fractures associated with underlying arrested hydrocephalus or subdural hygroma.
  • This study presents two unique cases of this rare phenomenon.

Observation:

  • A 12-year-old male with arrested hydrocephalus developed a growing skull fracture after mild head injury, leading to a subgaleal cerebrospinal fluid (CSF) collection.
  • An 8-month-old female with a parieto-occipital fracture developed a subdural hygroma and a communicating growing skull fracture with a subgaleal CSF collection.
  • One patient underwent a ventriculoperitoneal shunt and unfortunately died post-surgery; the other received a subduroperitoneal shunt with subsequent resolution.

Findings:

  • Growing skull fractures can manifest in children with pre-existing arrested hydrocephalus or subdural hygroma.
  • These fractures can develop following seemingly mild head injuries.
  • Cerebrospinal fluid collection and mass effect are characteristic findings.

Implications:

  • Highlights the importance of considering growing skull fractures in pediatric patients with head injuries, especially those with hydrocephalus or hygromas.
  • Emphasizes the need for vigilant follow-up in pediatric patients diagnosed with skull fractures alongside arrested hydrocephalus or subdural hygroma.
  • Suggests that timely intervention, such as CSF shunting, may be critical for managing these complex cases.