Cranio-cerebral erosion: delayed diagnosis and treatment

Ergün, Rüçhan; Ökten, Ali İhsan; Akdemir, Gökhan; Beşkonaklı, Etem; Gürsoy, Fatih; Taşkın, Yamaç

doi:10.1007/bf01105780

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Rarely, a cystoperitoneal shunt can be an option in case of non-visualisation of dural margins [4]. However, the most important step of surgery would be to achieve meticulous water-tight dural repair [2,6,33]. For this, the most commonly utilised dural substitute is pericranium because it is biocompatible, economical and has negligible risk of infection; others used being fascia lata, cadaveric or an artificial dura [2].…”

Section: Discussionmentioning

confidence: 98%

Surgical results of growing skull fractures in children: a single centre study of 43 cases

et al. 2014

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Being the second largest series to date, it adds significant valuable contribution to this topic. Poor prognostic factors were age >8 years, females, large defects (>7 cm), severe head injury at initial trauma, defects crossing midline and delayed repair (>8 months). Delayed onset seizures and new onset/progression of pre-existing deficits can be indirect markers of evolution. Surgical repair with water-tight dural closure is the standard treatment. Emphasis on early treatment is highlighted which is probably beneficial in improving neurological deficits. Good-to-excellent outcomes are noted in majority, even in cases with delayed presentations.

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Section: Discussionmentioning

confidence: 98%

Surgical results of growing skull fractures in children: a single centre study of 43 cases

et al. 2014

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“…Several studies have demonstrated that damage to the bone, dura, and brain not only happened at the time of initial injury but also slowly worsened for months and years later. 5,19,28,38,41 During this GSF stage, neurological deficits have not usually occurred and the complications are few; therefore, it is the best period for treatment.…”

Section: Discussionmentioning

confidence: 99%

“…5,26,33,40 Pericranium, fascia lata, cadaveric dural grafts, and artificial dura have been used in this step. 16,18,21,22 In our opinion, the autologous material is the best choice because of its tissue compatibility, convenience, inexpensiveness, and rare rate of infection.…”

Section: Discussionmentioning

confidence: 99%

Growing skull fracture stages and treatment strategy

Liu¹,

You²,

Ma³

et al. 2012

PED

122

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Object A growing skull fracture (GSF) is a rare but significant late complication of skull fractures, usually occurring during infancy and early childhood. Delayed diagnosis and improper treatment could exacerbate this disease. The aim of this study was to introduce a new hypothesis about, describe the stages of, and discuss the treatment strategy for GSF. Methods The authors performed a retrospective review of 27 patients with GSF, who were grouped according to 3 different GSF stages. Results Over a period of 20 years, 27 patients with GSF (16 males and 11 females) were treated in the authors' department. The mean follow-up period was 26.5 months. Six patients were in the prephase of GSF (Stage 1), 10 patients in the early phase (Stage 2), and 11 in the late phase (Stage 3). All patients underwent duraplasty. All 6 patients at Stage 1 and 5 patients at Stage 2 underwent craniotomy without cranioplasty. Five patients at Stage 2 and all of the patients at Stage 3 underwent cranioplasty with autologous bone and alloplastic materials, respectively. Among all patients, 5 underwent ventriculoperitoneal shunt placement. Symptoms in all patients at Stages 1 and 2 were alleviated or disappeared, and the cranial bones developed without deformity during follow-up. Among patients with Stage 3 GSF, no obvious improvement in neurological deficits was observed. Three patients underwent additional operations because of cranial deformation or infection. Conclusions The authors identify the stages of GSF according to a new hypothesis. They conclude that accurately diagnosing and treating GSF during Stages 1 and 2 leads to a better prognosis.