Cranial defect and decrease in cerebral blood flow resulting from deep contact burn of the scalp in the neonatal period.
A case of cranial defect in the anterior fontanelle region is reported. The patient suffered a deep contact burn on the right parietofrontal region in the neonatal period. At age 3 years, a bone defect of 30 x 20 mm was observed in the right parietofrontal region, including the anterior fontanelle, and the pulsation of the brain was palpable. Moreover, scintigraphy of cerebral blood flow using SPECT with 99mTc-HMPAO demonstrated extensive decrease in blood flow in the right parietosquamosal region. Cranioplasty was performed at 3 years and 4 months using split ribs grafts and at age 5 years and 4 months using split-thickness calvarial bone grafts. After the cranioplasty, there was no bony defect and no region of reduced blood flow. The child is developing well.
Matsumura
H
H
Department of Plastic and Reconstructive Surgery, Tokyo Medical College Hospital, Japan.
Shigehara
K
K
Ueno
T
T
Harunari
N
N
Yoshizawa
N
N
Ito
H
H
Watanabe
K
K
D001921:Brain / Q000098:blood supply*; D002056:Burns / Q000150:complications* / Q000209:etiology / Q000601:surgery; D003399:Craniotomy; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000293:injuries / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D010294:Parietal Bone / Q000293:injuries / Q000503:physiopathology / Q000601:surgery; D012039:Regional Blood Flow; D012535:Scalp / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D016038:Skin Transplantation; D014463:Ultrasonography