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Related Experiment Videos

Growing skull fractures: classification and management

Naim-Ur-Rahman1, Z Jamjoom, A Jamjoom

  • 1Division of Neurosurgery, College of Medicine, King Saud University & King Khalid University Hospital, Riyadh, Saudi Arabia.

British Journal of Neurosurgery
|January 1, 1994
PubMed
Summary

Growing skull fractures, a rare complication of head trauma, can lead to neurological deficits. Early identification and management are crucial for better patient outcomes.

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Area of Science:

  • Neurosurgery
  • Pediatric Neurology
  • Radiology

Background:

  • Growing skull fractures are a rare complication, accounting for 1.6% of all skull fractures.
  • This study reviews seven cases treated between 1983 and 1993.

Observation:

  • Three distinct types of growing skull fractures were identified based on etiology, CT findings, and surgical observations.
  • Type I involves a leptomeningeal cyst, Type II features damaged and gliotic brain, and Type III presents with a porencephalic cyst extending into the subgaleal space.
  • One patient exhibited a combination of Type I and Type III.

Findings:

  • All seven patients had mild to moderate initial head injuries and neurological deficits.
  • Progressive neurological deficits correlated with fracture growth in five cases.

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  • Two patients experienced natural arrest of fracture growth, accompanied by stabilization of neurological deficits.

    • Implications:

    • Understanding the different types of growing skull fractures is essential for appropriate management.
    • Surgical interventions should be considered based on fracture type and clinical progression.
    • Further research into optimal surgical strategies and long-term outcomes is warranted.