title: [Evolutive fractures of the skull].
abstract: The growing fractures of the skull rarely complicate head traumatism among infant and new born. 6 cases have been observed out of 552 fractures of the skull (1.09%) during 10 years from 1979 to 1988 at the neurosurgical clinic of Dakar University Teaching hospital. The patients age varies from 8 months to 21 years. The delay between traumatism and the diagnosis of growing fractures ranges from 18 days to 8 years. The primary fracture can be detected by a skull radiography which allows also to follow the evolution. It can be completed by making a translacuna echography, a non invasive method of investigation easily realisable thanks to the existence of a skull lacuna which constitute a real acoustical window. This type of investigation has been worked on deux patients. Essentially porencephalic forms have been noticed (5 cas). Three have been successfully operated out of four patients, two patients have spontaneously performed evolutions towards the stabilisation of the lesions. The prognosis of the affection is tightly linked with the associated brain injuries.
authors.affiliation: Clinique Neurochirurgicale du CHU de FANN.
authors.forename: A
authors.initials: A
authors.lastname: Kabre
authors.forename: A
authors.initials: A
authors.lastname: Soumare
authors.forename: S B
authors.initials: SB
authors.lastname: Badiane
authors.forename: Y
authors.initials: Y
authors.lastname: Sakho
authors.forename: N
authors.initials: N
authors.lastname: Ndoye
authors.forename: M
authors.initials: M
authors.lastname: Gueye
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012887:Skull Fractures / Q000175:diagnosis / Q000209:etiology / Q000473:pathology*
vernacular_title: Les fractures évolutives du crâne.