Luc Le Fournier1, Pierre-Louis Hénaux1, Claire Haegelen1, Maia Proisy2, Laurent Riffaud3. 1. Department of Neurosurgery, Rennes University Hospital, Rennes, France. 2. Department of Pediatric Radiology, Rennes University Hospital, Rennes, France. 3. Department of Neurosurgery, Rennes University Hospital, Rennes, France. laurent.riffaud@chu-rennes.fr.
Abstract
PURPOSE: A rare case of intradiploic growing fracture of the occipital bone is presented. Examination of this case and literature review was carried out to find significant specific features of such a rare condition. CASE: A 4-year-old boy was operated on for a huge occipital intradiploic growing skull fracture. His medical history, surgical management, and postoperative course are presented. LITERATURE REVIEW: A computer literature search using the Medline database revealed 31 well-documented cases. CONCLUSIONS: Special attention must be paid to skull fractures in childhood when occurring near CSF large spaces, especially if ventricle enlargement, suggesting that hydrocephalus is present. Surgeons should evaluate hydrocephalus before treating such lesions in order to improve surgical result and postoperative clinical evolution.
PURPOSE: A rare case of intradiploic growing fracture of the occipital bone is presented. Examination of this case and literature review was carried out to find significant specific features of such a rare condition. CASE: A 4-year-old boy was operated on for a huge occipital intradiploic growing skull fracture. His medical history, surgical management, and postoperative course are presented. LITERATURE REVIEW: A computer literature search using the Medline database revealed 31 well-documented cases. CONCLUSIONS: Special attention must be paid to skull fractures in childhood when occurring near CSF large spaces, especially if ventricle enlargement, suggesting that hydrocephalus is present. Surgeons should evaluate hydrocephalus before treating such lesions in order to improve surgical result and postoperative clinical evolution.
Entities:
Keywords:
Cortical tables; Diploe; Growing fracture; Skull; Surgery