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Growing skull fracture with cerebrospinal fluid fistula: A rare case report and its management strategies.

Jain S, Gandhi A, Sharma A, Mittal RS - Asian J Neurosurg (2015 Jul-Sep)

Bottom Line: The growing skull fracture (GSF) occurs in younger age group as a sequel of trauma.The most common site of these lesions is parietal region.The aim of this presentation is discussing the unusual presentation of GSF and its management.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, SMS Hospital, Jaipur, Rajasthan, India.

ABSTRACT
The growing skull fracture (GSF) occurs in younger age group as a sequel of trauma. The most common site of these lesions is parietal region. Here we are presenting a case of GSF of posterior fossa with cerebrospinal fluid (CSF) fistula. As per literature, we have not found a single case of GSF in the posterior fossa with CSF fistula. The aim of this presentation is discussing the unusual presentation of GSF and its management.

No MeSH data available.


Related in: MedlinePlus

Noncontrast computed tomography scan head bone window after initial head trauma
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Figure 1: Noncontrast computed tomography scan head bone window after initial head trauma

Mentions: Two months before 7-year-old female presented to our department with a history of injury due to fall from height. Due to injury patient suffered from fracture in midline occipital bone [Figure 1]. Now she presented with progressively enlarging swelling in the occipital and sub occipital region. The swelling is soft in consistency, globular in shape, smooth surface, transilluminant and impulse on coughing present. Before coming to our institution parents of the patient, consulted a local practitioner who misdiagnosed the swelling as hematoma/abscess. In an attempt to aspirate the content of swelling he inserted a needle converting it to a CSF fistula. There was a visible CSF leak present on the superior part of the swelling coming drop by drop [Figure 2]. The drop size increases rapidly on crying of patient. A noncontrast computed tomography of the head suggested a hypo dense cystic swelling in the occipital and sub occipital region with underlying occipital bone fracture. The cyst was communicating with underlying posterior fossa through the fracture. The underlying occipital bone defect increased significantly over this period of time.


Growing skull fracture with cerebrospinal fluid fistula: A rare case report and its management strategies.

Jain S, Gandhi A, Sharma A, Mittal RS - Asian J Neurosurg (2015 Jul-Sep)

Noncontrast computed tomography scan head bone window after initial head trauma
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553739&req=5

Figure 1: Noncontrast computed tomography scan head bone window after initial head trauma
Mentions: Two months before 7-year-old female presented to our department with a history of injury due to fall from height. Due to injury patient suffered from fracture in midline occipital bone [Figure 1]. Now she presented with progressively enlarging swelling in the occipital and sub occipital region. The swelling is soft in consistency, globular in shape, smooth surface, transilluminant and impulse on coughing present. Before coming to our institution parents of the patient, consulted a local practitioner who misdiagnosed the swelling as hematoma/abscess. In an attempt to aspirate the content of swelling he inserted a needle converting it to a CSF fistula. There was a visible CSF leak present on the superior part of the swelling coming drop by drop [Figure 2]. The drop size increases rapidly on crying of patient. A noncontrast computed tomography of the head suggested a hypo dense cystic swelling in the occipital and sub occipital region with underlying occipital bone fracture. The cyst was communicating with underlying posterior fossa through the fracture. The underlying occipital bone defect increased significantly over this period of time.

Bottom Line: The growing skull fracture (GSF) occurs in younger age group as a sequel of trauma.The most common site of these lesions is parietal region.The aim of this presentation is discussing the unusual presentation of GSF and its management.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, SMS Hospital, Jaipur, Rajasthan, India.

ABSTRACT
The growing skull fracture (GSF) occurs in younger age group as a sequel of trauma. The most common site of these lesions is parietal region. Here we are presenting a case of GSF of posterior fossa with cerebrospinal fluid (CSF) fistula. As per literature, we have not found a single case of GSF in the posterior fossa with CSF fistula. The aim of this presentation is discussing the unusual presentation of GSF and its management.

No MeSH data available.


Related in: MedlinePlus