Neglected Growing Skull Fracture: Details on Peroperative Findings and Surgical Repair

Growing Skull Fracture (GSK) is a rare but significant complication of pediatric head trauma. It commonly develops after a head trauma with a linear skull fracture and an underlying dural tear. Delayed diagnosis and improper management can lead to severe complications. Few reports provide details on peropeartive findings and surgical management of GSF. Herein we report the case of a neglected growing skull fracture in a 2-year-old infant who suffered from an abuse head trauma at the age of three months. A progressive bulging at the site of the fracture was neglected by the family for months. CT scan of the brain showed gliotic brain tissue herniated through a large ragged skull defect. Surgery was indicated and the goals of operation were to remove safely nonviable herniated brain tissue and to protect the neural elements by restoring dural and bone defect. Surgery should be performed acutely in children with GSF to reduce the morbidity and improve outcome.