Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Child's Nervous System
Published in: Child's Nervous System 2/2004

01-02-2004 | Case Report

Growing burr hole: enlarging pseudomeningocele at the site of a craniostomy

Authors: David H. Harter, Ronald Swanger, Michael Tenner

Published in: Child's Nervous System | Issue 2/2004

Login to get access

Abstract

Background

Growing skull fractures and other enlarging skull defects are rare postoperative occurrences. We report here on a 10-month-old girl who presented with an enlarging burr hole and pseudomeningocele after an endoscopic third ventriculocisternostomy.

Methods

Evaluation of an enlarging subcutaneous mass at the site of the burr hole included computed tomography scans and magnetic resonance imaging, which revealed a pseudomeningocele. The patient underwent repair of the lesion, including dural closure and cranioplasty.

Conclusions

Growing skull fractures or other enlarging bone defects may occur after burr hole placement, particularly in infants who require larger access sites for endoscopy.
Literature
1.
Lende RA, Erickson TC (1961) Growing skull fractures of childhood. J Neurosurg 18:479–489PubMed
2.
Lenthall R, Penney C (1999) Growing skull fracture extending posteriorly to the superior sagittal sinus with intradiploic extension. Br J Radiol 72:714–716PubMed
3.
Naim-Ur-Rahman, Jamjoom Z, Jamjoom A, Murshid WR (1994) Growing skull fractures: classification and management. Br J Neurosurg 8:667–679PubMed
4.
Papaefthymiou G, Oberbauer R, Pendl G (1996) Craniocerebral birth trauma by vacuum extraction: a case of growing skull fracture as a perinatal complication. Childs Nerv Syst 12:117–120PubMed
5.
Parmar RC, Bavdekar SB (2000) Images in radiology: type III growing skull fracture. J Postgrad Med 46:130–131PubMed
6.
Rinehart GC, Pittman T (1998) Growing skull fractures: strategies for repair and reconstruction. J Craniofac Surg 9:65–72PubMed
7.
Scarff TB, Fine M (1985) Growing skull fractures of childhood. In: Wilkins RH, Rengachary S (eds) Neurosurgery. McGraw-Hill, New York, pp 1627–1628
8.
Sener RN (1995) Growing skull fracture in a patient with cerebral hemiatrophy. Pediatr Radiol 25:64–65PubMed
9.
Tenner MS, Stein BM (1970) Cerebral herniation in the growing fracture of the skull. Radiology 94:351–355PubMed
10.
Yamamoto M, Moore MH, Hanieh A (1998) Growing skull fracture after cranial vault reshaping in infancy. J Craniofac Surg 9:73–75PubMed
Metadata
Title
Growing burr hole: enlarging pseudomeningocele at the site of a craniostomy
Authors
David H. Harter
Ronald Swanger
Michael Tenner
Publication date
01-02-2004
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 2/2004
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-003-0856-4

Other articles of this Issue 2/2004

Child's Nervous System 2/2004 Go to the issue

Commentary

Normal galenic drainage of the deep cerebral venous system

Case-based Update

Morning glory syndrome and basal encephalocele

Case Report

Split cord malformation and situs inversus totalis: case report and review of the literature

Case Report

Intraspinal extradural teratoma mimicking neural sheath tumor in infant

Technical Note

Split laminotomy in pediatric neurosurgery

Announcements

February 2004