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[A growing skull fracture: a case report]

N Tsuzuki1, K Suzuki, A Matsuno

  • 1Department of Neurosurgery, National Defence Central Hospital.

No Shinkei Geka. Neurological Surgery
|July 1, 1993
PubMed
Summary

A growing skull fracture in a 19-year-old male, initially caused by a childhood fall, was successfully treated. This case highlights the importance of advanced imaging for diagnosing such rare pediatric conditions.

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Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Medical Imaging

Background:

  • Growing skull fractures are rare complications of head trauma in infants.
  • Delayed diagnosis can lead to significant neurological sequelae.

Observation:

  • A 19-year-old male presented with epilepsy, revealing a large occipital bone defect from a childhood injury.
  • Imaging (CT, MRI) showed a cystic lesion and underlying encephalomalacia.
  • Surgical findings included granulation tissue, a cyst, gliotic brain, and a wide dural tear.

Findings:

  • Microscopic examination identified the granulation tissue as a fibroglial cicatrix.
  • Herniation of contused brain tissue through a dural tear enlarged the fracture.
  • The condition resulted in a fibroglial cicatrix formation.

Implications:

  • Combined CT and MRI are crucial for diagnosing growing skull fractures.
  • Microscopic analysis aids in understanding the pathogenesis of these fractures.
  • Surgical repair involving dural plasty and cranioplasty can effectively treat growing skull fractures.

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