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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

Dural repair using pericranial patch
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Figure 5: Dural repair using pericranial patch

Mentions: The diagnosis of midline posterior fossa GSF with iatrogenic CSF fistula was made. After initial blood investigations, an operative decision was planned for the patient in the emergency settings. The patient was subjected for the midline sub occipital craniectomy with duraplasty using autologous pericranial patch. Intraoperatively there was a large dural defect underlying the fracture line [Figure 3], larger than the fracture itself [Figure 4]. The dura was adhered to the underlying cerebellar tissue. The dural margins were separated from underlying cerebellar tissue. The margins were freshened, and the dura was repaired using pericranial patch in a water tight closure [Figure 5]. Postoperatively patient developed bulging of the operative site, which was subsided after conservative treatment.


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)

Dural repair using pericranial patch
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Dural repair using pericranial patch
Mentions: The diagnosis of midline posterior fossa GSF with iatrogenic CSF fistula was made. After initial blood investigations, an operative decision was planned for the patient in the emergency settings. The patient was subjected for the midline sub occipital craniectomy with duraplasty using autologous pericranial patch. Intraoperatively there was a large dural defect underlying the fracture line [Figure 3], larger than the fracture itself [Figure 4]. The dura was adhered to the underlying cerebellar tissue. The dural margins were separated from underlying cerebellar tissue. The margins were freshened, and the dura was repaired using pericranial patch in a water tight closure [Figure 5]. Postoperatively patient developed bulging of the operative site, which was subsided after conservative treatment.

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