Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015
Skull fracture mimicking eosinophilic granuloma.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Hollon Todd, McKeever Paul E, Garton Hugh J L, Maher Cormac O
Аннотация
BACKGROUND: Delayed swelling after skull fractures is an uncommon complication following head trauma in children. Classically, growing skull fractures typically present in patients under 3 years of age with progressive subcutaneous fluid collections, or occasionally with neurologic symptoms. We present the case of a healthy 2-year-old boy with a lytic "punched-out" frontal skull lesion. The child presented 2 months after a minor forehead injury for which no medical attention was sought.
METHODS: The skull defect had no associated leptomeningeal cyst or brain herniation. Imaging and presentation were thought to be consistent with eosinophilic granuloma. Histologic findings demonstrated a healing skull fracture.
RESULTS: Cranioplasty was performed, and the patient had an uncomplicated postoperative course.
CONCLUSIONS: In this report, we describe our experience with this atypical presentation of a healing skull fracture mimicking a typical eosinophilic granuloma.
METHODS: The skull defect had no associated leptomeningeal cyst or brain herniation. Imaging and presentation were thought to be consistent with eosinophilic granuloma. Histologic findings demonstrated a healing skull fracture.
RESULTS: Cranioplasty was performed, and the patient had an uncomplicated postoperative course.
CONCLUSIONS: In this report, we describe our experience with this atypical presentation of a healing skull fracture mimicking a typical eosinophilic granuloma.