Experimental Observations on Enlarging Skull Fractures

Rosenthal, S. A.; Grieshop, J.; Freeman, Larry M.; Goldstein, Frank P.

doi:10.3171/jns.1970.32.4.0431

Cited by 20 publications

(2 citation statements)

References 3 publications

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“…Since the first incrimination of leptomeningeal cyst as the cause of the progressive enlargement of skull fractures [18], many concepts have been hypothesized concerning the genesis and the pro- gression of such a phenomenon. A ball-valve mechanism leading to the accumulation of cerebrospinal fluid (CSF) within an arachnoid pouch entrapped in the fracture line was one of the first ideas reported [19], but an experimental model using ink instillation concluded to the absence of communication between the CSF pathways and the leptomeningeal cyst [20]. Although, the multiplication of cases without underlying arachnoid cysts led to the term "GSF" in order to involve all those skull fractures with a progression potential [21].…”

Section: Pathophysiological Conceptsmentioning

confidence: 99%

Neglected growing skull fractures in childhood: Three case reports

2015

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Growing skull fractures are rare complications of head injury, affecting almost exclusively young children. This disease is characterized by the progression of a skull fracture with an underlying dural tear, leading to large cranial vault defects and parenchymal porencephalic damages. This report on three cases with a radiological follow-up depicts the difficulty in the management of neglected cases. Three young patients (two months, two years and six years old) were managed for growing skull fracture in our department since 2001. Even if the three patients were diagnosed early, the therapeutic management was complex because of a long delay due to several reasons. While a cranioplasty and dural repair were performed in all patients, one required a shunt procedure for a large leptomeningeal cyst associated with a unilateral hydrocephalus. The clinical and radiological features are reviewed, as well as pathophysiological hypotheses and therapeutic principles.

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Section: Pathophysiological Conceptsmentioning

confidence: 99%

Neglected growing skull fractures in childhood: Three case reports

2015

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“…Pia and Tönnis (26) published a paper in 1953 reporting a total of 9 cases of this condition and entitled the paper "Die wachsende Schädelfraktur des Kindesalters". Thereafter, other authors (10,11,12,19,21,23,27,32) have often adopted the term "growing or enlarging skull fractures of childhood" in their communications. Taveras and Ransohoff (31) theorized that formation of a leptomeningeal cyst was by the entrapment of fluid in an arachnoidal herniation through a dural tear and discussed the mechanism of the associated bone erosion with emphasis on the pulsations of the brain which is transmitted through the cysts to the inner table of the skull.…”

Section: Introductionmentioning

confidence: 99%