Growing skull fractures: A clinical study of 41 patients
| Autor: | Ashis Pathak, N. M. Reddy, S. N. Mathuriya, Sunil Gupta, Manoj K Tewari, B. S. Shama, Vijay K. Kak, Khosla Vk |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Ventriculoperitoneal Shunt Postoperative Complications Skull fracture Cause of Death Head Injuries Closed medicine Humans Cyst Child Retrospective Studies Neuroradiology Skull Fractures business.industry Head injury Infant Middle Aged medicine.disease Cranioplasty Surgery Hydrocephalus Skull medicine.anatomical_structure Child Preschool Female Neurology (clinical) Neurosurgery Tomography X-Ray Computed business Craniotomy Follow-Up Studies |
| Zdroj: | Acta Neurochirurgica. 139:928-932 |
| ISSN: | 0942-0940 0001-6268 |
| Popis: | Growing skull fractures are rare complications of head injury, occurring almost exclusively in infants and children under the age of three. A retrospective review at our Institute yielded 41 patients with this entity over a period of 20 years (1975-1995). The age at presentation ranged from less than 1 year to 62 years, with 33 (80.5%) patients being less than 5 years of age. The cause of injury was either a fall from a height (93%) or a road traffic accident. The most common location of a growing skull fracture was either parietal or frontoparietal (56%). One patient had a posterior fossa growing skull fracture. CT scan was performed in 19 patients which demonstrated an underlying porencephalic cyst, hydrocephalus or a cyst communicating with the ventricle. In 5 children, a ventriculo-peritoneal shunt alone was performed. Twenty four patients underwent a duro- and cranioplasty while a duroplasty alone was performed in 8 patients. The material used for cranioplasty included acrylic, wire mesh, steel plates or autologous bone. Three patients died, one due to an anaesthetic complication and two as a result of postoperative meningitis. Post-operative CSF leaks occurred in 3 patients, which were managed by a lumbar drain. Six patients had local wound infection. |
| Databáze: | OpenAIRE |
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