title: Surgical treatment and results in growing skull fracture.
abstract: Growing skull fracture is a rare complication of skull fracture and remains almost undetected in the first few years of life. Here, we report a series of 11 patients with growing skull fracture treated at our institute over a period of five years and discuss their clinical features, radiological findings, and principles of management. Of the 11 patients, six were females and five males, with the age ranging between 9 months and 12 years (mean, 3 years). Progressive scalp swelling was the most common presenting feature. Other clinical features included generalised tonic clonic seizures, eyelid swelling, and proptosis. Computed tomography scan of the head defined the growing skull fracture in all 11 patients and detected the underlying parenchymal injury. Postoperatively, all patients had a complete resolution of the scalp swelling. Two patients had postoperative seizures and one had cerebrospinal fluid leak. Early recognition and surgical repair is essential to prevent the development of neurological complications and cranial asymmetry.
authors: Department of Neurosurgery, L.T.M.G. Hospital, Mumbai, India. bddiyora@hotmail.com
authors: Batuk
authors: B
authors: Diyora
authors: Naren
authors: N
authors: Nayak
authors: Hanumant
authors: H
authors: Kamble
authors: Sanjay
authors: S
authors: Kukreja
authors: Gargi
authors: G
authors: Gupte
authors: Alok
authors: A
authors: Sharma
mesh_terms: D065634:Cerebrospinal Fluid Leak; D002559:Cerebrospinal Fluid Rhinorrhea; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications; D018450:Disease Progression; D004487:Edema / Q000209:etiology; D005094:Exophthalmos / Q000209:etiology; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures; D012189:Retrospective Studies; D012535:Scalp / Q000473:pathology; D012640:Seizures / Q000209:etiology; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome