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Journal of Postgraduate Medicine
Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
ISSN: 0022-3859 EISSN: 0022-3859
Vol. 46, No. 2, 2000, pp. 130-131
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Bioline Code: jp00037
Full paper language: English
Document type: Research Article
Document available free of charge
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Journal of Postgraduate Medicine, Vol. 46, No. 2, 2000, pp. 130-131
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Images in Radiology: Type III Growing Skull Fracture
Parmar RC, Bavdekar SB
Abstract
A six months old male infant presented with convulsion following an episode of fall. The clinical examination did not reveal any abnormality. Plain skull roentgenogram revealed a non-depressed left parietal fracture (Figure 1). Computerised tomographic (CT) scan of brain was normal. The patient was treated conservatively and was advised to follow up. Subsequently, the patient was seen again at the age of 18 months with a gradually enlarging swelling over the scalp and right-sided hemiparesis. Repeat plain skull roentgenogram revealed a large skull defect in the left parietal bone with smooth margins and islands of bone formation in the periphery (Figure 2). The CT scan of the brain revealed presence of a skull defect in the left parietal region and a hypodense cystic lesion herniating through the defect. The left superolateral parietal lobe showed loss of substance with porencephalic dilatation, which reached laterally to the superolateral cortex and medially towards the body of the lateral ventricle (Figure 3). Based on this a diagnosis of type III growing skull fracture (GSF) was made. The patient underwent excision of the cyst with dural repair, but presented with a recurrence of the leptomeningeal cyst at 21/2 years. The patient was then advised cranioplasty with excision of the cyst.
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