Prevention of growing skull fractures: report of 2 cases

Journal of Neurosurgery. Pediatrics
Robert A Sanford

Abstract

The author describes 2 cases of children with growing skull fractures (GSFs). Surgical exploration of the widened fracture shortly after the head injury failed to reveal a dural tear because the neuroimaging studies (MR images, CT scans, and skull radiographs) had not been accurately interpreted, thereby allowing the development of a GSF at the site of the actual dural injury. In both cases, the dural and bony defect and the leptomeningeal cyst were successfully repaired. To prevent GSFs associated with progressive neurological deficit, seizure, ventricular porencephaly, and encephalomalacia, the author surgically explores wide skull fractures in young children with head injury whose MR images demonstrate brain herniation through the dura mater. The importance of a brief delay in surgical exploration is emphasized to allow cerebral edema to resolve and the patient's condition to become medically stabilized.

References

Apr 1, 1978·Journal of Neurology, Neurosurgery, and Psychiatry·D KingsleyR Hoare
Jan 1, 1990·The American Journal of Emergency Medicine·G NallsL Blackwell
Jun 1, 1989·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·G B ScarfòL Palma
Dec 1, 1967·Journal of Neurosurgery·F GoldsteinC E Brackett
May 1, 1995·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D L Johnson, T Helman
Jan 1, 1994·British Journal of Neurosurgery· Naim-Ur-RahmanW R Murshid
Apr 1, 1995·Surgical Neurology·M G MuhonenA H Menezes
Dec 1, 1995·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D J DonahueW M Chadduck
Oct 1, 1996·Pediatric Radiology·B HussonM Zerah
Jan 1, 1997·Acta neurochirurgica·S K GuptaV K Kak
Apr 29, 1998·The Journal of Craniofacial Surgery·G C Rinehart, T Pittman
Jul 10, 1998·Neurosurgery·M KutlayC Basekim
Jul 7, 1999·Acta neurochirurgica·J S WeinbergH L Weiner
Nov 22, 2000·Neurosurgical Review·Y ErsahinS Mutluer

❮ Previous
Next ❯

Citations

Nov 23, 2013·Neurology India·Xiaoyu WangChao You
Jun 7, 2014·Journal of Neurosurgery. Pediatrics·Christopher M BonfieldJoseph E Losee
Jul 14, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Han-Song ShengMao-de Wang
Nov 18, 2018·The Journal of Craniofacial Surgery·Ikkei TamadaMarie Aoki
Mar 25, 2020·Ear, Nose, & Throat Journal·Xiao-Hong YanYu Zhao

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Ashutosh Singhal, Paul Steinbok
The Journal of Pediatrics
Jean-Rodolphe VignesDominique Liguoro
© 2021 Meta ULC. All rights reserved