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Growing skull fracture. A report of two cases, studied by CT scan
Neurochirurgia
|November 1, 1983
Insights
This study reviews two pediatric growing skull fracture cases, highlighting CT scan findings of herniated brain tissue. Early surgical intervention is considered for complex cases with brain contusion and edema.
Area of Science:
- Pediatric Neurosurgery
- Neuroradiology
- Trauma Surgery
Background:
- Growing skull fractures (GSFs) are rare complications of pediatric head trauma.
- These fractures can lead to dural defects and brain herniation.
- Diagnosis and management require advanced imaging techniques.
Observation:
- Two pediatric cases of growing skull fracture were treated.
- Computed Tomography (CT) scans were utilized for detailed assessment.
- CT imaging clearly depicted herniated brain tissue and its anatomical relationships.
Findings:
- GSFs can present with significant brain herniation.
- The relationship between the herniated tissue and surrounding brain structures is visualized by CT.
- The presence of contused and edematous brain tissue adjacent to the diastatic fracture is a key observation.
Implications:
- CT scan is crucial for diagnosing and planning treatment for growing skull fractures.
- Early surgical intervention may be necessary for GSFs with associated brain injury.
- Understanding the extent of herniation and brain contusion guides surgical decision-making.
Abstract:
We present two cases of growing skull fracture treated at the Children's Hospital in Athens. They have been studied by CT scan, which in both cases clearly showed the herniated brain tissue and its relationship to other brain structures. The possibility of an early operation, if there is contused and oedematous brain related to the diastatic fracture, is discussed.