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Unusual Complication of a Neglected Growing Skull Fracture

Akshay Vijay Kulkarni1, Priyadarshi Dikshit2, B Indira Devi3

  • 1Department of Neurosurgery, National institute of Mental Health and Neurosciences, Bengaluru, India.

Pediatric Neurosurgery
|February 24, 2021
PubMed

Insights

A neglected growing skull fracture (GSF) in a child led to a large cerebrospinal fluid (CSF) collection. Surgical repair with duroplasty and cranioplasty resulted in a good outcome for this rare condition.

Area of Science:

  • Pediatric neurosurgery
  • Traumatic brain injury complications

Background:

  • Growing skull fracture (GSF) is a rare complication following pediatric head trauma.
  • It results from a skull defect, dural tear, and pressure changes, potentially causing neurological deficits.

Observation:

  • A 14-year-old presented with sudden, diffuse head swelling after a prior untreated infantile head injury.
  • CT revealed a bony defect with CSF collection in the subgaleal space.

Findings:

  • The patient had a neglected GSF with a significant subgaleal cerebrospinal fluid collection.
  • Surgical intervention included exploration, duroplasty, and cranioplasty.

Implications:

  • Untreated GSF can lead to rupture and extensive CSF accumulation.
  • Prompt surgical management involving dural repair and cranioplasty is crucial for favorable outcomes in GSF cases.
Abstract

Keywords:
Delayed presentation of growing skull fractureGrowing skull fractureNeglected leptomeningeal cystUnusual complications of growing skull fracture

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