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Child's Nervous System

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01-11-2015 | Case Report

Intradiploic growing skull fracture: review of mechanisms and literature

Authors: Luc Le Fournier, Pierre-louis Hénaux, Claire Haegelen, Maia Proisy, Laurent Riffaud

Published in: Child's Nervous System | Issue 11/2015

Abstract

Purpose

A rare case of intradiploic growing fracture of the occipital bone is presented. Examination of this case and literature review was carried out to find significant specific features of such a rare condition.

Case

A 4-year-old boy was operated on for a huge occipital intradiploic growing skull fracture. His medical history, surgical management, and postoperative course are presented.

Literature review

A computer literature search using the Medline database revealed 31 well-documented cases.

Conclusions

Special attention must be paid to skull fractures in childhood when occurring near CSF large spaces, especially if ventricle enlargement, suggesting that hydrocephalus is present. Surgeons should evaluate hydrocephalus before treating such lesions in order to improve surgical result and postoperative clinical evolution.

Ersahin Y, Gülmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23:139–144CrossRefPubMed

Lende RA, Erickson TC (1961) Growing skull fractures of childhood. J Neurosurg 18:479–489CrossRefPubMed

Açikgöz B, Tekkök IH (2002) Post-traumatic intradiploic leptomeningeal fistula and cyst. J Clin Neurosci 9:468–473CrossRefPubMed

Agrawal D, Mishra S (2010) Post-traumatic intradiploic pseudomeningocele. Indian Pediatr 47:271–273CrossRefPubMed

Dunkser SB, McCreary HS (1971) Leptomeningeal cyst of the posterior fossa. Case report. J Neurosurg 34:687–692CrossRefPubMed

Gorgulu A, Albayrak BS (2006) Giant intradiploic leptomeningeal cyst of the posterior fossa. Acta Neurochir (Wien) 148:923–924CrossRef

Gupta DK, Mahapatra AK (2006) Posttraumatic intradiploic pseudomeningocele: neuroimaging. Pediatr Neurosurg 42:200–201CrossRefPubMed

Hamamcioglu MK, Hicdonmez T, Kilincer C, Cobanoglu S (2006) Large intradiploic growing skull fracture of the posterior fossa. Pediatr Radiol 36:68–70CrossRefPubMed

Jaiswal M, Gandhi A, Sharma A, Mittal RS (2015) Occipital post-traumatic intradiploic arachnoid cyst converted to pseudomeningocele after re-trauma: a rare complication of rare pathology. Pediatr Neurosurg 50:53–55CrossRefPubMed

10.

Kadri H, Mawla AA (2004) Late appearance of hydrocephalus associated with posttraumatic intradiploic arachnoid cyst. Childs Nerv Syst 20:494–495CrossRefPubMed

11.

Kajima M, Maeyama R (1981) Intradiploic leptomeningeal cyst of the posterior fossa. A case report. Neurol Med Chir (Tokyo) 21:785–788CrossRef

12.

Kumar R, Chandra SP, Sharma BS (2012) Giant intradiploic pseudomeningocele of occipital bone. J Neurosurg Pediatr 9:82–85CrossRefPubMed

13.

Kumar R, Sahu RN, Srivastav AK, Mehrotra A, Das KK (2012) An unusual case of post-traumatic intradiploic leptomeningeal cyst and review of the literature. Neurol India 60:245–247CrossRefPubMed

14.

Lyle Hillman RS, Kieffer SA, Ortiz H, Clubb R (1975) Intraosseous leptomeningeal cysts of the posterior cranial fossa. Radiology 116:655–659CrossRefPubMed

15.

Mahaney KB, Menezes AH (2014) Intradiploic occipital pseudomeningocele in a patient with remote history of surgical treatment of Chiari malformation. J Neurosurg Spine 21:769–772CrossRefPubMed

16.

Mahapatra AK, Tandon PN (1989) Post-traumatic intradiploic pseudomeningocele in children. Acta Neurochir (Wien) 100:120–126CrossRef

17.

Martínez-Lage JF, Martínez Pérez M, Domingo R, Poza M (1997) Posttraumatic intradiploic arachnoid cyst of the posterior fossa. Childs Nerv Syst 13:293–296CrossRefPubMed

18.

Palaoglu S, Beskonakli E, Senel K, Taskin Y, Yalcinlar Y (1990) Intraosseous location of posterior fossa posttraumatic leptomeningeal cyst. Demonstration by computerized tomography. Neuroradiology 32:78CrossRefPubMed

19.

Peyser E, Weissberg D (1961) Post-traumatic arachnoidal cyst. Report of an unusual case. J Neurosurg 18:551–553CrossRefPubMed

20.

Sato TS, Moritani T, Hitchon P (2009) Occipital intradiploic CSF pseudocyst: an unusual complication of a ventriculoperitoneal shunt malfunction. Am J Neuroradiol 30:635–636CrossRefPubMed

21.

Seo B, Lee J, Jeong I, Moon S, Joo S, Kim T, Kim J, Kim S (2009) Post-traumatic intradiploic leptomeningeal cyst of the posterior fossa in an adult. J Clin Neurosci 16:1367–1369CrossRefPubMed

22.

Thomas TA, Rout D (2010) Non-traumatic intraosseous cerebrospinal fluid cyst with associated craniovertebral anomalies: a case report and suggested mechanism of formation. Neurol India 58:122–124CrossRefPubMed

23.

Tizzard S, Gleave J, Antoun N, Macfarlane R (2001) Occipito-clival intradiploic meningocoele following skull fracture in infancy. Br J Neurosurg 15:188–190CrossRefPubMed

24.

Turgut M, Ozcan OE, Karaman CZ (1998) Post-traumatic intra-osseous pseudomeningocele of the occipital bone. Australas Radiol 42:262–263CrossRefPubMed

25.

Alfieri A, Zona G, Cirillo S, Spaziante R (1996) Intradiploic arachnoid cyst: case report. Neuroradiology 38:569–571CrossRefPubMed

26.

D'Almeida AC, King RB (1981) Intradiploic cerebrospinal fluid fistula. Report of two cases. J Neurosurg 54:84–88CrossRefPubMed

27.

Hande AM, Karapurkar AP (1991) Hemorrhage into an intradiploic arachnoid cyst. Case report. J Neurosurg 75:969–971CrossRefPubMed

28.

Lunardi P, Missori P, Artico M, Fortuna A (1991) Posttraumatic intradiploic leptomeningeal cyst in an adult: case report. Surg Neurol 35:475–477CrossRefPubMed

29.

Macmilan AI, Bartlett RJ, Brocklehurst G (1997) Intradiploic meningocoele in a 16-year-old girl. Br J Neurosurg 11:359–361CrossRef

30.

Menkü A, Koç RK, Tucer B, Akdemir H (2004) Is skull fracture necessary for developing an intradiploic pseudomeningocele as a complication of head injury in adulthood? Acta Neurochir (Wien) 146:623–627CrossRef

31.

Patil AA, Etemadrezaie H (1996) Posttraumatic intradiploic meningoencephalocele. Case report. J Neurosurg 84:284–287CrossRefPubMed

32.

Sartawi M, Schwartz FT, Fox JL (1973) An unusual osteolytic lesion of the skull due to a traumatic arachnoid cyst. Neuroradiology 6:180–181CrossRefPubMed

33.

Weinand ME, Rengachary SS, McGregor DH, Watanabe I (1989) Intradiploic arachnoid cysts. Report of two cases. J Neurosurg 70:954–958CrossRefPubMed

34.

Yamaguchi S, Hirohata T, Sumida M, Arita K, Kurisu K (2002) Intradiploic arachnoid cyst identified by diffusion-weighted magnetic resonance imaging–case report. Neurol Med Chir (Tokyo) 42:137–139CrossRef

Title: Intradiploic growing skull fracture: review of mechanisms and literature
Authors: Luc Le Fournier
Pierre-louis Hénaux
Claire Haegelen
Maia Proisy
Laurent Riffaud
Publication date: 01-11-2015
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 11/2015
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-015-2793-4

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Intradiploic growing skull fracture: review of mechanisms and literature

Abstract

Purpose

Case

Literature review

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Case

Literature review

Conclusions

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