Remote intracranial hemorrhage following surgery for giant orbitofrontal growing skull fracture: A lesson learnt

• Published in: Journal of pediatric neurosciences Vol. 11; no. 2; pp. 118 - 120
• Main Author: Baldawa, Sachin
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer - Medknow Publications 01-04-2016; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd
• Subjects: Brain hemorrhage; Brain surgery; Care and treatment; Case Report; Case studies; Causes of; Complications and side effects; Skull fractures; United States; remote site hematoma; Growing skull fracture; remote site hemorrhage; intracranial hemorrhage
• ISSN: 1817-1745; 1998-3948
• DOI: 10.4103/1817-1745.187631

Growing skull fracture is an extremely rare complication of pediatric head injury, especially in infants. Repair of the dural tear early in the course of development of growing skull fracture has been suggested for a better outcome. Surgical repair of large, tense growing skull fractures, especially those in the communication of the ventricles can lead to potentially life-threatening complications. The author reports a rare case of remote intracranial hemorrhage following surgery for large, tense growing skull fracture in a 12-year-old girl and discusses the likely pathogenesis and possible ways to avoid this life-threatening complication.