Acute hydrocephalus triggered by isolated traumatic subarachnoid hemorrhage in the posterior fossa following mandibular fracture in a toddler: a rare case report.

Autor: Suzuki H; Department of Neurosurgery, Sapporo City General Hospital, Sapporo, Japan. suzuhime27@gmail.com., Takigami M; Department of Neurosurgery, Sapporo City General Hospital, Sapporo, Japan. braintaki@gmail.com., Horita Y; Department of Neurosurgery, Sapporo City General Hospital, Sapporo, Japan., Mikami T; Department of Neurosurgery, Sapporo City General Hospital, Sapporo, Japan., Mikuni N; Department of Neurosurgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2024 Sep 04. Date of Electronic Publication: 2024 Sep 04.
DOI: 10.1007/s00381-024-06599-y
Abstrakt: Introduction: Facial bone fractures triggered by low-height falls are rare in toddlers, while severe intracranial injuries resulting from minor trauma are extremely rare.
Case: Herein, we report the case of a 2-year-old girl who fell from a baby chair, striking her chin, who rapidly developed impaired consciousness 3 h later. The patient subsequently presented with a mandibular fracture and acute obstructive hydrocephalus due to a traumatic isolated subarachnoid hemorrhage in the posterior cranial fossa. She was successfully treated with ventricular drainage, which achieved a favorable outcome.
Conclusion: Maxillofacial trauma and head injuries are closely associated. Even in minor cases of maxillofacial trauma, vigilant monitoring and prompt intervention are crucial to prevent fatal outcomes in toddlers.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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