Surgical neurology international · 2026
Growing skull fracture: Delayed presentation, surgical management, and review of the literature.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Mahamadou Ango Souleymane, Assoumane Issa Ibrahim, Hamma Ousmane Issoufou, Maman Sani Rabiou, Maikassoua Mamane, Kelani Aminath
Аннотация
BACKGROUND: Growing skull fracture (GSF), also known as post-traumatic leptomeningeal cyst, is a rare late complication of a linear skull fracture in young children. It requires an underlying dural tear with progressive herniation of arachnoid membrane and/or brain tissue.
CASE DESCRIPTION: We report a 15-month-old child who sustained a right frontoparietal linear skull fracture at 1 month of age and returned 14 months later with a pulsatile scalp swelling and left hemiparesis. Computed tomography showed a wide right frontoparietal diastasis and adjacent ventricular dilatation. At surgery, the 10 × 3 cm defect was densely adherent to the arachnoid and ependymal surface. Adhesiolysis and watertight galeal duraplasty were performed, and the bone flap was replaced. The findings were most consistent with Naimur-Rahman type III GSF. Motor function recovered almost completely by 6 months, while follow-up at 6 and 12 months showed partial closure of the residual osseous gap.
CONCLUSION: GSF should be suspected when delayed scalp swelling or neurological deficits follow an infant skull fracture. Selective follow-up of high-risk fractures and timely watertight dural repair can limit progressive morbidity.
CASE DESCRIPTION: We report a 15-month-old child who sustained a right frontoparietal linear skull fracture at 1 month of age and returned 14 months later with a pulsatile scalp swelling and left hemiparesis. Computed tomography showed a wide right frontoparietal diastasis and adjacent ventricular dilatation. At surgery, the 10 × 3 cm defect was densely adherent to the arachnoid and ependymal surface. Adhesiolysis and watertight galeal duraplasty were performed, and the bone flap was replaced. The findings were most consistent with Naimur-Rahman type III GSF. Motor function recovered almost completely by 6 months, while follow-up at 6 and 12 months showed partial closure of the residual osseous gap.
CONCLUSION: GSF should be suspected when delayed scalp swelling or neurological deficits follow an infant skull fracture. Selective follow-up of high-risk fractures and timely watertight dural repair can limit progressive morbidity.