Type II growing skull fracture in a 12-year-old girl

A 12-year-old female patient came to the Neurology Outpatient Clinic with the complaining of headache, frequent episodes of abnormal body movements and swelling in the right frontal scalp region. Her parents gave remote history of head trauma. History of trauma in a paediatric patient followed by the onset of gradually progressive swelling in the scalp along with radiological findings of calvarial defect and protrusion of gliotic brain tissue through it led to the diagnosis of growing skull fracture. Her parents were counselled about the surgical management for which they agreed. The scalp defect was repaired followed by uneventful post-operative period. She is on regular anti-epileptics for the episodes of seizers she had at the time of presentation and is on regular follow-up.