A curious case of spontaneously resolving closed "jigsaw" depressed skull fracture in an adolescent
Viraat Harsh1, Saurav Kumar Besra1, Jayendra Kumar1
1Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Abstract:
Spontaneously resolving depressed skull fractures have been previously reported in the pediatric age group, however they are very rare in adolescents. We report a case of spontaneously elevating depressed fracture in a 13 year old boy. Depressed skull fractures in this age group might resolve on its own but may also complicate during its course of non-operative self elevation. In the reported case, the child developed gliosis and suffered seizures two years after the trauma. Repeat scans showed almost normal skull topography with underlying gliotic changes. Although all depressed skull fractures won't complicate as such, patients without neurological deficits should also be operated to prevent any delayed complications.
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