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Growing Skull Fracture after Minor Closed-Head Injury

2007; Elsevier BV; Volume: 151; Issue: 3 Linguagem: Inglês

10.1016/j.jpeds.2007.04.041

1097-6833

Jean‐Rodolphe Vignes, Owase Jeelani, Ashfaq Jeelani, M Dautheribes, Dominique Liguoro,

Neurosurgical Procedures and Complications

Head injury is a major public health issue due to its prevalence and the associated socioeconomic costs. Its incidence is increasing in urban areas. 1 Yates P.J. Williams W.H. Harris A. Round A. Jenkins R. An epidemiological study of head injuries in a UK population attending an emergency department. J Neurol Neurosurg Psychiatry. 2006; 77: 699-701 Crossref PubMed Scopus (108) Google Scholar Minor closed-head injuries (MCHIs) constitute more than 80% of all head injuries. 2 Brookes M. MacMillan R. Cully S. Anderson E. Murray S. Mendelow A.D. et al. Head injuries in accident and emergency departments How different are children from adults?. J Epidemiol Community Health. 1990; 44: 147-151 Crossref PubMed Scopus (47) Google Scholar A conservative approach to diagnostic evaluation is generally recommended in infants with MCHI. 3 Greenes D.S. Schutzman S.A. Clinical indicators of intracranial injury in head-injured infants. Pediatrics. 1999; 104: 861-867 Crossref PubMed Scopus (166) Google Scholar Skull radiograph (SR) plays a limited role in these cases, except when nonaccidental injury is considered. 4 Committee on Quality ImprovementAmerican Academy of Pediatrics and Commission on Clinical Policies and ResearchAmerican Academy of Family PhysiciansThe management of minor closed head injury in children. Pediatrics. 1999; 104: 1407-1415 Crossref PubMed Scopus (210) Google Scholar Growing skull fracture (GSF), a known intracranial complication of head injury, can occur after an MCHI. 5 Naim U.R. Jamjoom Z. Jamjoom A. Murshid W.R. Growing skull fractures: classification and management. Br J Neurosurg. 1994; 8: 667-679 Crossref PubMed Scopus (82) Google Scholar Unless this diagnosis is considered at initial presentation, a significant delay in detection can occur, resulting in suboptimal management. 6 Ziyal I.M. Aydin Y. Turkmen C.S. Salas E. Kaya A.R. Ozveren F. The natural history of late diagnosed or untreated growing skull fractures: report on two cases. Acta Neurochir (Wien). 1998; 140: 651-654 Crossref PubMed Scopus (25) Google Scholar