De 'groeiende schedelfractuur'

Translated title of the contribution: The 'growing skull fracture'

Hedy Folkersma*, Sander Idema, Mirko L.A. Bal, Fonnet E. Bleeker, Nicole I. Wolf, W. Peter Vandertop

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Growing skull fracture (GSF) is a rare complication of cranial trauma in children younger than 3 years. It is characterised by the presence of a dural defect due to which herniation of the brain tissue can develop, with cystic transformation and resulting cerebral damage. A 5-month-old baby girl presented at the emergency department following a fall from the staircase. Upon examination she showed a left parietal subgaleal haematoma and right-sided hemiparesis. MRI examination of the brain showed a skull fracture and dural defect with progressive herniation of the brain tissue. Neurosurgical reconstruction was carried out. GSF is a rare complication of cranial trauma in young children as a result of rupture of the dura and separating fracture edges. This can lead to cerebral damage and early recognition is important. GSF needs to be considered in children younger than 3 years with a (pulsating) subgaleal haematoma. The diagnosis is made by MRI scan of the brain and neurosurgical treatment consists of watertight closure of the dura combined with skull reconstruction.

Original languageDutch
Pages (from-to)1938-1942
Number of pages5
JournalNederlands Tijdschrift voor Geneeskunde
Volume155
Issue number43
Publication statusPublished - 29 Oct 2011

Cite this

Folkersma, H., Idema, S., Bal, M. L. A., Bleeker, F. E., Wolf, N. I., & Vandertop, W. P. (2011). De 'groeiende schedelfractuur'. Nederlands Tijdschrift voor Geneeskunde, 155(43), 1938-1942.