Unusual Complication of Neglected Hydrocephalus: Spontaneous Rupture with Growing Skull Fracture

Timely management of hydrocephalus in infants is critical as the initial treatment can have lifelong implications for survival and neurological outcome. In the developing countries, grossly enlarged heads are still not an uncommon occurrence. In extreme cases, there may be a spontaneous rupture of hydrocephalus either externally or internally, depending on the status of the sutures. Here, the successful management of a rare complication of spontaneous rupture of hydrocephalus in an infant is discussed. The management of the present case provides a novel approach to deal with this dreaded complication. Though the neurological outcome remains guarded in such cases, they need to be tackled cautiously to address the hydrocephalus and esthetic appearance of the infant.