A 2-year-old child with history of fall one year back with parietal bone fracture now presented with painful and growing parietal swelling.
Correct Answer: Growing fracture
Description: (b) Growing fracture,Ref: Growing skull fractures: classification and management. Naim-Ur-Rahman et al Br J Neurosurg. (1994)Growing Fractures:* Also known as traumatic encephaloceles or leptomeningeal cysts* Skull fractures associated with an underlying dural tear may fail to heal properly.* Enlargement of the defect is caused due to herniation of brain, or a leptomeningeal cyst, or dilated ventricles.* Neurologic symptoms may be found if associated compression of the underlying brain is present.* Occur primarily in children with age < 3 years and with diastasis greater than 3 to 4 mm.* Usually detected within one year of an acute head injury as a localized swelling or palpable skull defect that increases in size.
Category:
Pediatrics
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