Document Detail


Growing skull fractures of childhood. Case report and review of 132 cases.
MedLine Citation:
PMID:  4093801     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Authors report a case of growing skull fracture, unusual complication of linear skull fracture in infancy and childhood. A review of 132 cases reported in literature is done with an analysis of general characteristics of this lesion. The most common localization is parietal (50%); clinical presentation is represented by development of seizures (54 cases), focal neurological deficit (57 cases) or loss of consciousness (50 cases). In 50% of cases interval time between head injury and first symptom varies between 1 day and 1 year. After the first year of age the 34.4% of patients develop seizures and 59% present loss of consciousness. Among patients from 1 day to 6 months of age, 46% develop seizures, 38% focal neurological deficit and 21% loss of consciousness. Asymptomatic presentation is more common in fronto-parietal or fronto-parieto-occipital localizations. In parieto-occipital and occipital localization (30 cases), 13 patients (43.3%) have seizures, 36.7% a focal neurological deficit and 60% loss of consciousness. In parieto-temporal localization there is a higher probability of seizures (62.5%) and loss of consciousness (62.5%). The long-term follow-up and the functional recovery in patients which undergo surgery is linked to the clinical presentation and early diagnosis.
Authors:
S Pezzotta; V Silvani; P Gaetani; G Spanu; G Rondini
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgical sciences     Volume:  29     ISSN:  0390-5616     ISO Abbreviation:  J Neurosurg Sci     Publication Date:    1985 Apr-Jun
Date Detail:
Created Date:  1986-04-11     Completed Date:  1986-04-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0432557     Medline TA:  J Neurosurg Sci     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  129-35     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Arachnoid*
Bioprosthesis
Cysts / etiology*,  pathology,  surgery
Frontal Bone / injuries*
Humans
Infant, Newborn
Parietal Bone / injuries*

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