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.
Department of Plastic and Reconstructive Surgery, Tokyo Medical College Hospital, Japan.
H
H
Matsumura
K
K
Shigehara
T
T
Ueno
N
N
Harunari
N
N
Yoshizawa
H
H
Ito
K
K
Watanabe
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