Neglected growing skull fracture presenting in adulthood: A case report
Sagun Ghimire1, Shikher Shrestha1, Dinuj Shrestha1
1Department of Neurosurgery, B and B Hospital, Gwarko, Lalitpur, Nepal.
International Journal of Surgery Case Reports
|December 27, 2024
Summary
Growing skull fractures are rare complications of head trauma, often missed in childhood. Delayed diagnosis in adulthood can lead to significant complications, emphasizing the need for prompt management.
Area of Science:
- Neurosurgery
- Pediatric Traumatology
Background:
- Growing skull fractures are rare complications following head trauma, predominantly affecting infants and children.
- Missed diagnoses in childhood can lead to delayed presentation and complications in adulthood.
Observation:
- A 26-year-old female presented with a two-decade-delayed growing skull fracture, manifesting as scalp swelling, neurological symptoms, and cosmetic deformity.
- Surgical intervention involved defect excision and titanium mesh cranioplasty.
Findings:
- Growing skull fractures are infrequently encountered, with delayed diagnoses occurring decades after the initial trauma.
- Delayed management correlates with increased patient complications and potential intraoperative anatomical challenges.
Implications:
- Early diagnosis and intervention for skull fractures are crucial to prevent long-term complications and improve patient quality of life.
- Titanium mesh cranioplasty offers a viable solution for managing complex skull defects resulting from delayed growing skull fractures.
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