Varieties of growing skull fractures in childhood

Goldstein, Frank P.; Rosenthal, S. A.; Garancis, John C.; Larson, Sanford J.; Brackett, Charles E.

doi:10.3171/jns.1970.33.1.0025

Cited by 28 publications

(13 citation statements)

References 8 publications

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“…Dural tear has been considered the single most important factor in the development of GSF [24][25][26][27][28]. In 1961, 141 Lende and Erickson [10] emphasized four essential features: (1) skull fracture in infancy or early childhood, (2) dural tear at the time of fracture, (3) brain injury beneath the fracture, and (4) subsequent enlargement of the fracture to form a cranial defect.…”

Section: Discussionmentioning

confidence: 99%

Growing skull fractures (craniocerebral erosion)

Erşahin¹,

Gülmen

Palali

et al. 2000

Neurosurg Rev

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The incidence of growing skull fractures ranges from less than 0.05% to 1.6%. We reviewed 22 growing skull fracture patients retrospectively. There were 15 boys and seven girls ranging in age from newborn to 6 years (mean: 12.4 months) at the time of injury. Falling was the most frequent cause of injury. In total, 17 patients presented with a scalp mass. The scalp was sunken over the bone defect in three patients. Other symptoms and signs were seizure in five patients, hemiparesis in four, recurrent meningitis in one, and pulsatile exophthalmus in one. The most common location was the parietal region. The extent of dural defect was always greater than that of bony defect, except in one case that had been previously shunted for hydrocephalus. In another patient with a growing fracture in the posterior cranial fossa, the dural edges could not be exposed, although a wide craniotomy was performed. Therefore, a cystoperitoneal shunt was inserted. Gliotic tissue was present in all the patients. Cyst or cystic lesions were observed in only nine patients, duraplasty was performed in 21, 16 were neurologically intact, and six had minor deficits. All patients under the age of 3 years with a diastatic skull fracture should be closely followed up. A sustaining diastatic fracture and brain herniation through the skull defect shown on CT or MRI imply a growing skull fracture.

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Section: Discussionmentioning

confidence: 99%

Growing skull fractures (craniocerebral erosion)

Erşahin¹,

Gülmen

Palali

et al. 2000

Neurosurg Rev

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“…In an experimental study carried out by Goldstein et al [1970] three modalities of devel opment of the growing skull fracture arc described: dural laceration with herniation of the subarachnoid formations: dural laceration associated with the development of an arachnoid cyst under the bone of the fracture rim and cerebral depression, and dural laceration with development of an arachnoid cyst and cerebral protrusion due to lesions of the pia mater.…”

Section: Discussionmentioning

confidence: 99%

Clinicotherapeutic Aspects in the Growing Skull Fracture

Arseni¹,

Ciurea²

1981

Pediatr Neurosurg

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“…[1213] It occurs in infancy and early childhood. Basic underlying pathology includes traumatic fracture of the skull vault with rent in underlying dura extending to arachnoid membrane.…”

Section: Discussionmentioning

confidence: 99%

Giant intradiploic arachnoid cyst for 13 years

2014

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A case of intradiploic arachnoid cyst is reported. The patient presented with a progressively enlarging swelling situated over left frontal region for approximately 13-years following blunt trauma to head. Magnetic resonance imaging showed an intradiploic fluid containing cyst having intensity like cerebrospinal fluid (CSF). He underwent craniotomy and successful surgical repair. Intraoperatively CSF cyst was located in the frontal pole with a large defect over inner table and large rent in the dura. It was lined with arachnoid membrane. Pertinent literature is reviewed in brief.

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Varieties of growing skull fractures in childhood

Abstract: ✓ Clinical examples of three varieties of leptomeningeal cysts secondary to a traumatic dural tear have been discussed. The cysts developed beneath fracture lines and led to erosion of bone and herniation or depression of brain.

Cited by 28 publications

References 8 publications

Growing skull fractures (craniocerebral erosion)

Growing skull fractures (craniocerebral erosion)

Clinicotherapeutic Aspects in the Growing Skull Fracture

Giant intradiploic arachnoid cyst for 13 years

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