Birth trauma and development of growing fracture after coronal suture disruption.
BACKGROUND
A growing fracture is a rare complication of skull fractures characterized by progressive diastatic enlargement of the fracture line. Growing skull fractures related to birth trauma were only occasionally reported. As far as we know, only one previous case of a neonatal growing fracture secondary to coronal suture disruption has been reported.


METHODS
We present the case of a full-term infant born after a nontraumatic, forceps-assisted spontaneous delivery, who developed an increasing cystic swelling over the left frontoparietal area that crossed over coronal and sagittal sutures. The lesion was initially misinterpreted as cephalhematoma. Clinical and radiological follow-up established the correct diagnosis of leptomeningeal cyst.


RESULTS
The collection was initially tapped. Surgical treatment was undertaken thereafter, consisting of decompression and resection of the cyst and dural repair. Two months after follow-up, the patient remains asymptomatic and the porencephalic cavity remains isolated from the extradural space, with no evidence of new fluid collections.
Miranda
Pablo
P
Department of Pediatric Neurosurgery, Hospital Infantil La Fe, Avda. Campanar s/n., 46009 Valencia, Spain. mirandalloret@yahoo.es
Vila
Manuel
M
Alvarez-Garijo
Jose A
JA
Perez-Nunez
Angel
A
D016080:Arachnoid Cysts / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D001720:Birth Injuries / Q000150:complications / Q000000981:diagnostic imaging*; D003393:Cranial Sutures / Q000293:injuries*; D019299:Decompression, Surgical; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009772:Obstetrical Forceps; D011859:Radiography; D012887:Skull Fractures / Q000000981:diagnostic imaging* / Q000209:etiology; D016896:Treatment Outcome