An Unusual Presentation of Growing Skull Fracture with Sutural Diastasis

Abstract

Growing skull fracture (GSF) is a rare complication of childhood skull fractures, which is caused by progressive diastatic enlargement of the fracture line. Progressive swelling is the most common presenting feature. The most common site is the parietal region. Sutural diastasis is a rare site for development of GSF. Early treatment is must as they cause delayed onset neurological deficit and cranial asymmetry. The aim of this report is to discuss an unusual presentation of GSF with sutural diastasis and review of literature.

Keywords

craniocerebral erosions - dural laceration - growing skull fracture - leptomeningeal cyst - sutural diastasis

Publication History

Article published online:
11 August 2020

• References

• 1 Vignes JR, Jeelani Nu, Dautheribes M, San-Galli F, Liguoro D. Cranioplasty for repair of a large bone defect in a growing skull fracture in children. J Craniomaxillofac Surg 2007; 35 (03) 185-188
• 2 Ziyal IM, Aydin Y, Türkmen CS, Salas E, Kaya AR, Ozveren F. The natural history of late diagnosed or untreated growing skull fractures: report on two cases. Acta Neurochir (Wien) 1998; 140 (07) 651-654
• 3 Leung GK, Chan KH, Hung KN. Growing skull fracture in an adult nine years after blunt head trauma. J Clin Neurosci 2011; 18 (06) 855-857
• 4 Singla N, Gupta SK. The natural history of an untreated growing skull fracture: an unusual case. Pediatr Neurosurg 2010; 46 (01) 76-79
• 5 Khandelwal S, Sharma GL, Gopal S, Sakhi P. Growing skull fractures leptomeningeal cyst. Indian J Radiol Imaging 2002; 12: 485-486
• 6 Lende RA, Erickson TC. Growing skull fractures of childhood. J Neurosurg 1961; 18: 479-489
• 7 Gruber FH. Post-traumatic leptomeningeal cysts. Am J Roentgenol Radium Ther Nucl Med 1969; 105 (02) 305-307
• 8 Taveras JM, Ransohoff J. Leptomeningeal cysts of the brain following trauma with erosion of the skull; a study of seven cases treated by surgery. J Neurosurg 1953; 10 (03) 233-241
• 9 Husson B, Pariente D, Tammam S, Zerah M. The value of MRI in the early diagnosis of growing skull fracture. Pediatr Radiol 1996; 26 (10) 744-747
• 10 Gallo P, Mazza C, Sala F. Intrauterine head stab wound injury resulting in a growing skull fracture: a case report and literature review. Childs Nerv Syst 2010; 26 (03) 377-384
• 11 Hamamcioglu MK, Hicdonmez T, Kilincer C, Cobanoglu S. Large intradiploic growing skull fracture of the posterior fossa. Pediatr Radiol 2006; 36 (01) 68-70
• 12 de P Djientcheu V, Njamnshi AK, Ongolo-Zogo P. et al. Growing skull fractures. Childs Nerv Syst 2006; 22 (07) 721-725
• 13 Ersahin Y, Gülmen V, Palali I, Mutluer S. Growing skull fractures (craniocerebral erosion). Neurosurg Rev 2000; 23 (03) 139-144
• 14 Singhal A, Steinbok P. Operative management of growing skull fractures: a technical note. Childs Nerv Syst 2008; 24 (05) 605-607