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Incidence, Diagnosis, and Management of Skull Fractures

  • Chapter
Head Injuries in the Newborn and Infant

Part of the book series: Principles of Pediatric Neurosurgery ((PRINCPEDIATR))

Abstract

Skull lesions after head injuries in infants occur relatively frequently in comparison with adults and even older children. The flexibility of the bones of the infant’s skull, as well as open sutures present in very young children, explain the main characteristics of fractures and, especially, their frequency. If a true fracture is a disruption of the bones of the skull as a result of head trauma, a lesion of a suture (localized dysjunction or disruption) must also be considered a traumatic lesion.

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References

  1. Alajouanine R, Thurel R: Perte de substance crânienne consécutive à un traumatisme fermé. Rev Neurol 1945;77:71.

    Google Scholar 

  2. Alexander E, Davis CH: Intrauterine fracture of the infant skull. J Neurosurg 1969;30:446–454.

    Article  PubMed  Google Scholar 

  3. Arseni C, Ciurea AV: Clinicotherapeutic aspects in the growing skull fracture: A review of the literature. Child’s Brain 1981;8:161–172.

    PubMed  CAS  Google Scholar 

  4. Axton JHM, Levy LF: Congenital mouldery depression of the skull. Br J Med 1965;1:1644–1647.

    Article  CAS  Google Scholar 

  5. Ballance CA: Some points in the surgery of the brain and its membranes, in MacMillan and Co, Ltd, A Glimpse into the History of Surgery of the Brain. 15, 405, 1907.

    Google Scholar 

  6. Bandi SK, Singh SD, Dwivedi MS: Traumatic leptomeningeal cyst: Report of a case. Indian J Ped 1969;36:447–451.

    Article  CAS  Google Scholar 

  7. Bayerthal: Ueber die im frühesten Kindesalter entstehende Menin gócele spuria traumatica. Brun Beitr klin Chir 1891,7:367.

    Google Scholar 

  8. Billroth T: Ein fall von Meningocele spuria cum fistula ventriculi cerebri. Arch klin Chir 1862;3:398.

    Google Scholar 

  9. Brandesky G: Die wachsende Schädelfraktur im Säuglings und Kleinkinde salter, in Rehbein F: Der Unfall im Kindesalter (Suppl. zu Bd. 11, Zeit s ehr f Kinderchir). Stuttgart, Hippokrates-Verlag, 1972, p 381.

    Google Scholar 

  10. Brihaye JM, Locoge R, Potvliege, Mage J: Lacune osseuse de la voute du crâne avec kyste proencéphalique sous-jacent d’origine obstétricale chez un adulte. Acta neurol belg 1957;57:803.

    CAS  Google Scholar 

  11. Burkinshaw J: Head injuries in children. Arch. Dis. Child 1960;35:205.

    Article  PubMed  CAS  Google Scholar 

  12. Canestri G, Monzali CL: Trauma cranici nell’infanzia. Min Pediátrica 1970;22:1687–1689.

    CAS  Google Scholar 

  13. Coffin M, Bailleul: Perte de substance crânienne chez un nourrisson. Bull Soc Péd (Paris) 1936;34:278.

    Google Scholar 

  14. Cooperstock M: Leptomeningeal cyst associated with hemiplegia and skull defect of traumatic origin. J Ped 1946;28:488–492.

    Article  CAS  Google Scholar 

  15. Coulon RA: Depressed skull fractures in children. Concepts Pediat Neuro-surg 1984;4:253–263. Karger, Basel

    Google Scholar 

  16. Di Rocco C, Stefanini MC, Velardi F: Traumi cranio encefalici del periodo neonatale e della primo infanzia. Minerva Ped 1980;32:927–934.

    Google Scholar 

  17. Duez G: Les images lacunaires crâniennes. Thèse, Université de Lille, 1951.

    Google Scholar 

  18. Dyke CG: The roentgen X-ray diagnosis and treatment of diseases of the skull and intracranial contents, in Palmer WW, Nelson T. Loose Leaf Medicine. New York, 6, 185, 1937.

    Google Scholar 

  19. Friedmann G, Krohm G: Aetiologie und Klinik der “wachsenden Schädel frakturen.” Kinderheilk 1964;89:49.

    Article  CAS  Google Scholar 

  20. Gaist G, Scarcella G: Erosioni craniche de eiste leptomeningea a cicatrice meningocerebrale in corso di epilepsia post traumatica. Annali Ital Chir 1956;33:585–604.

    CAS  Google Scholar 

  21. Goldstein FP et al: Experimental observations on enlarging skull fractures. J Neurosurg 1970;32:431.

    Article  PubMed  Google Scholar 

  22. Grob M: Ueber die Schadelfrakturen im Kindesalter. Langenbecks Arch klin Chir 1942;34:442.

    Google Scholar 

  23. Grubea FH: Post-traumatic leptomeningeal cyst. Amer J Roentgen 1969;105:305–307.

    Google Scholar 

  24. Guffa-May DK: Intrauterine spontaneous depression of fetal skull: A case report and review of the literature. J Reprod Med 1976;16:321–324.

    Google Scholar 

  25. Handa I: On the growing skull fracture. Brain Dev (Tokyo) 1969;1:61.

    Google Scholar 

  26. Harwood-Nash DC, Hendrick EB, Hudson AR: The significance of skull fracture in children: A study of 1187 patients. Radiology 1971;101:151.

    PubMed  CAS  Google Scholar 

  27. Hendrick EB, Harwood-Nash DC, Hudson AR: Head injuries in children: A survey of 4465 consecutive cases at the hospital for sick children, Toronto, Canada. Clin Neurosurg 1964;11:46–65.

    PubMed  CAS  Google Scholar 

  28. Higazi I: Post-traumatic leptomeningeal cysts of the brain: Report of unusual case. J Neurosurg 1963;20:605–608.

    Article  PubMed  CAS  Google Scholar 

  29. Hobbs G: Spontaneous elevation of a depressed skull fracture in an infant. J Neurosurg 1975;42:727.

    Google Scholar 

  30. Howship J: Practical Observation in Surgery and Morbid Anatomy. London, Longman, Hurst, Rees, Orme and Brown, 1816.

    Google Scholar 

  31. Ingraham FD, Matson DD: Neurosurgery of infancy and childhood. Springfield, Ill., Charles C Thomas Publishers, 1954, vol 17, p 456.

    Google Scholar 

  32. Ito H, Miwa T, Onodra Y: Growing skull fracture of childhood Child’s Brain 1977;3:116.

    PubMed  CAS  Google Scholar 

  33. Jamison DL, Kaye HH: Accidental head injury in childhood. Arch Dis Child 1974;49:376–381.

    Article  PubMed  CAS  Google Scholar 

  34. Keener EB: An experimental study of reactions of the dura mater to wounding and loss of substance. J Neurosurg 1959;16:424.

    Article  PubMed  CAS  Google Scholar 

  35. Kingsley D, Till K, Hoare R: Growing fractures of the skull. B Neurol Neuro-surg and Psych 1978;41:312.

    Article  CAS  Google Scholar 

  36. Kitamura K, Sawada T: Growing skull fracture and false meningocele of childhood. Brain Nerve (Tokyo) 1964;16:473–479.

    CAS  Google Scholar 

  37. Kravitz H, Driessen G, Gomberg R, Korach A: Accidental falls from elevated surfaces in infants from birth to one year of age. Pediatrics 1969;44:869–876.

    PubMed  Google Scholar 

  38. Lamesch A, Conter C, Gose C, Riekel I, Mohn M: La fracture du crâne à Técartement progressif du petit enfant. Chir Pediat 1981;22:231–236.

    Google Scholar 

  39. Lende R, Erickson T: Growing skull fractures of childhood. J Neurosurg 1961;18:479.

    Article  PubMed  CAS  Google Scholar 

  40. Lende RA: Enlarging skull fracture of childhood. Neuroradiology 1974;7:119.

    Article  PubMed  CAS  Google Scholar 

  41. Loeser JD, Kilburn HL, Jollet T: Management of depressed skull fracture in the newborn. J Neurosurg 1976;44:62–64.

    Article  PubMed  CAS  Google Scholar 

  42. Lye RH, Occleshaw JV, Dutton J: Growing fracture of the skull and the role of computerized tomography. J Neurosurg 1981;55:470–472.

    Article  PubMed  CAS  Google Scholar 

  43. Matson DD: Neurosurgery of Infancy and Childhood. Springfield Ill, Charles C Thomas Publishers, 1969.

    Google Scholar 

  44. Mealey JR: Pediatric Head Injury. Springfield, Ill, Charles C Thomas Publishers, 1968.

    Google Scholar 

  45. Mercier: Lacunes et images radiologiques lacunaiers du crâne. Thèse, Université de Marseille, 1939.

    Google Scholar 

  46. Moriyasu N: Enlarged skull fracture: A mechanism of its entity without treated dura in one case. Neurol Surg (Tokyo) 1972;2:153–159.

    Google Scholar 

  47. Natelson SE, Say ers MP: The fate of children sustaining severe head trauma during birth. Pediatrics 1973;51:169–174.

    PubMed  CAS  Google Scholar 

  48. Ombredanne L: Prècis Clinique et Opératoire de Chirurgie Infantile. Paris, Masson Édit, 1949, p 327.

    Google Scholar 

  49. Paillas JE, Barcourt C: Epilepsie ultratardive et lacunes crâniennes consécutives à un traumatisme neo-natal: Deux observations. Sem Hôp (Paris) 1959;35:1965–1968.

    CAS  Google Scholar 

  50. Pia HW, Tönnis W: Die waschende Schädelfraktur des Kindesalters. Zbl f Neurochir 1953;1:1.

    Google Scholar 

  51. Piusson C, Risbourg B, Krim G, Herbaut C, Lenaerts C, Quintard JM: Fractures évolutives des os du crâne. Ann Pédiat 1979;26(5):289.

    Google Scholar 

  52. Ramamurthi B, Kalyanraman S: Rationale for surgery in growing fractures of the skull. J Neurosurg 1970;32:427–430.

    Article  PubMed  CAS  Google Scholar 

  53. Raynor RB, Parsa M: Nonsurgical elevation of depressed skull fracture in an infant: J Pediat 1968;72:262–264.

    Article  PubMed  CAS  Google Scholar 

  54. Rickham PP: Head injuries in childhood. Helv Chir Acta 1961;28:560.

    PubMed  CAS  Google Scholar 

  55. Rothman L, Rose HS, Laster DW, Quencer R, Tenner M: The spectrum of growing skull fractures in children. Pediatrics 1976,57:26.

    PubMed  CAS  Google Scholar 

  56. Roberts F, Shopfner CF: Plain skull roentenograms in children with head trauma. Am J Roentgeno 1972;114:230–240.

    CAS  Google Scholar 

  57. Ross G: Spontaneous elevation of a depressed skull fracture in an infant. J Neurosurg 1975;42:726–727.

    Article  PubMed  CAS  Google Scholar 

  58. Sato O, Tsugane R, Kageyama N: Growing skull fractures of childhood. Child’s Brain 1975;1:148.

    PubMed  CAS  Google Scholar 

  59. Saunders BS, Lazonitz S, McArtor RD: Depressed skull fracture in the neonate. J Neurosurg 1979;50;512–514.

    Article  PubMed  CAS  Google Scholar 

  60. Schräger GO: Elevation of depressed skull fracture with a breast pump. J Pediat 1970;77:300–301.

    Article  PubMed  Google Scholar 

  61. Schwartz CW: Leptomeningeal cysts from a roentgenological viewpoint. Am. J. Roentgen, Radium Therm Nucl Med 1941;46:160–165.

    Google Scholar 

  62. Shapiro K: Pediatric Head Trauma. New York, Futura Publishing Inc, 1983.

    Google Scholar 

  63. Simon PG: Les lacunes craniennes après traumatisme de la première enfance. Thèse, Université de Lyon, 1954.

    Google Scholar 

  64. Soul AB, Whitcomb BB: Extensive erosion of base of skull from leptomeningeal cyst: Report of case. Arch Neurol Psychiat 1946;55:382–387.

    Google Scholar 

  65. Stein BM, Tenner MS: Enlargement of skull fracture in childhood due to cerebral herniation. Arch Neurol 1972;26:137–143.

    Article  PubMed  CAS  Google Scholar 

  66. Tan KL: Elevation of congenital depressed fractures of the skull by the vacuum extraction. Acta Paediatr Scand 1974;63:562–564.

    Article  PubMed  CAS  Google Scholar 

  67. Taveras JM, Ransohoff E J: Leptomeningeal cysts of the brain following trauma with erosion of the skull. J Neurosurg 1953; 10:233.

    Article  PubMed  CAS  Google Scholar 

  68. Testa C, Nizzoli V: Fracture evolutive dans les traumatismes crâniens fermés de la première enface aboutissant à la constitution d’une lacune crânienne. Neurochir 1968;14:111–134.

    CAS  Google Scholar 

  69. Thompson JB, Mason TH, Haines GL, Cassidy MJ: Surgical management of diastatic linear skull fractures in infants. J Neurosurg 1973;39:493–497.

    Article  PubMed  CAS  Google Scholar 

  70. Twerdy K, Lugger JL: Problemative der Kindlicher Wachsenden Schadelfraktur. Unfallheilkunde 1977;80:101–106.

    PubMed  CAS  Google Scholar 

  71. Van Enk A: Reduction of Pond fractures. J Br Med 1972;2:353.

    Article  Google Scholar 

  72. Vas CJ, Winn JM: Growing skull fractures. Dev. Med Child Neurol 1966;8(6):735.

    Article  PubMed  CAS  Google Scholar 

  73. Von Rokitansky K: Lehrbuch der pathologischen, in Ahatomia. Wien. W. Braun-Müller, 1856.

    Google Scholar 

  74. Von Winiwarter A: Ueber einen Fall von defekt des Knöchernen Schadeldaches infolge einer während des ersten lebensjahres erlittenen Verelt-zung. Arch Klin Chir 1885;31:135.

    Google Scholar 

  75. Weinlechner J: Ueber die im Kindesalter vorkommenden subkutanen Schädelfissuren und die damit zasammenhängenden Schädellücken mit anlagerndem Gehirn und falschen Meningocelen. Mschr f Kinderheilk 1882; 18:367.

    Google Scholar 

  76. Yarzagaray L: Craniocerebral trauma in children. Surg Clin N Am 1973;53:59–71.

    PubMed  CAS  Google Scholar 

  77. Zimmerman RA, Bilaniuk LT: Computed tomography in pediatric head trauma. J Neuroradiol 1981;8:257–271.

    PubMed  CAS  Google Scholar 

  78. Zimmerman RA: The effectiveness of skull plain films in the evaluation of traumatic coma. J Neurosurg 1983;10:145–148.

    CAS  Google Scholar 

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Authors
  1. Maurice Choux
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Editor information

Editors and Affiliations

  1. Division of Pediatric Neurology, Chidren’s Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, 606014, USA

    Anthony J. Raimondi M.D.

  2. Hôpital des Infantes de la Timone, Rue Saint Pierre, 13005, Marseille, France

    Maurice Choux M.D.

  3. Instituto di Neurochirurgia, Università Cattolica del Sacro Cuore, Largo Gemelli 8, 00168, Rome, Italy

    Concezio Di Rocco M.D.

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Choux, M. (1986). Incidence, Diagnosis, and Management of Skull Fractures. In: Raimondi, A.J., Choux, M., Di Rocco, C. (eds) Head Injuries in the Newborn and Infant. Principles of Pediatric Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4615-7183-4_12

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  • DOI: https://doi.org/10.1007/978-1-4615-7183-4_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4615-7185-8

  • Online ISBN: 978-1-4615-7183-4

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