Clinical Characteristics of Growing Skull Fractures in Children_West China Medical Journal

Authors：

1.Department of Neurosurgery; 2.Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

儿童; 颅骨生长性骨折; 外伤后脑积水; 颅骨成形术

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目的:探讨儿童颅骨生长性骨折(GSF)的形成机制,诊断和治疗。方法:对我院15例GSF患儿的临床资料进行回顾性分析。结果:15例患儿均有颅脑外伤史,致颅骨线性骨折,骨折线进行性增宽,颅骨缺损,术中均发现有硬脑膜破裂。15例患儿均行手术治疗,3例患儿手术后出现脑积水并予脑室-腹腔(V-P)分流术。结论:颅骨骨折和硬脑膜破裂是发生GSF最重要的因素;患儿发生颅骨线性骨折后应定期复查头部CT,一旦确诊为GSF须行颅骨成形手术治疗;儿童GSF手术后出现的脑积水行V-P分流术治疗效果较好。

Citation： ZENG Yijun,CHEN Jing,ZHANG Heng,et al. Clinical Characteristics of Growing Skull Fractures in Children. West China Medical Journal, 2009, 24(4): 814-816. doi: Copy

1.	COLAK A, AKBASAK A, BILICILER B, et al. An unusual variant of a growing skull fracture in an adolescent[J]. Pediatr Neurosurg,1998,29(1):36-39..
2.	GUPTA V, SINHA S, SINGH A K, et al. Growing skull fracture of ethmoid: a report of two cases[J]. J Craniomaxillofac Surg,2000,28(4):224-228..
3.	HAYASHI Y, YAMAKI T, ODAKE G, et al. Long-term follow up of a growing skull fracture treated by dura and cranioplasty with artificial dura mater and methylmethacrylate[J]. Childs Nervous System,1997,13(6):349-351..
4.	ZEGERS B, JIRA P, WILLEMSEN M, et al. The growing skull fracture, a rare complication of paediatric head injury[J]. Eur J Pediatrics,2003,162(7-8):556-557..
5.	MILTOS K, SUGIULTZOGLU MARK M. Souweidane early management of craniocerebral injury with avoidance of post-traumatic leptomeningeal cyst formation[J]. Pediatr Neurosurg,2001,35:329-333..
6.	陈立朝,许民辉,邹咏文,等.颅骨生长性骨折的临床分析[J].第三军医大学学报,2007,29(20):2016-2017..
7.	ERSAHIN Y, GULMEN V, PALALI I, et al. Growing skull fractures (craniocerebral erosion)[J]. Neurosurg Rev,2000,23(3):139-44..
8.	YEN C P, CHEANG C M, LOH J K, et al. Growing skull fractures[J]. Kaohsiung J Med Sci,1999,15(3):175-181..
9.	HAMAMCIOGLU M K, HICDONMEZ T, KILINCER C, et al. Large intradiploic growing skull fracture of the posterior fossa[J]. Pediatric Radiol,2006,36(1):68-70.〖ZK)〗.
10.	CROCKER M, TAWARI G, ROBERTSON F, et al. Growing skull fracture in the absence of a dural tear[J]. Br J Neurosurg,2006,20(2):97-99..
11.	GROSWASSER Z, COHEN M, REIDER-GROSWASSERI, et al. Incidence, CT findings and rehabilitation outcome of patients with communicative hydrocephalus following severe head injury[J]. Brain Inj,1998,2(4):267..
12.	MIKI T, NAKAJIMA N, WADA J, et al. Cause of post-traumatic hydrocephalus because of traumatic aqueduct obstruction in two cases[J]. J Trauma,2006,61(4):985-989..
13.	WU CHENG-CHENG. Diagnosis and treatment of post-traumatic hydrocephalus[J]. Med Inform Sect Oper Surg,2008,(1)..
14.	TRIBL G, ODER W. Outcome after shunt implantation in severe head injury with post-traumatic hydrocephalus[J]. Brain Inj,2000,14(4):345-354..
15.	LI G, WEN L, ZHAN R Y, et al. Cranioplasty for patients developing large cranial defects combined with post-traumatic hydrocephalus after head trauma[J]. Brain Inj,2008,22(4):333-337..

1. COLAK A, AKBASAK A, BILICILER B, et al. An unusual variant of a growing skull fracture in an adolescent[J]. Pediatr Neurosurg,1998,29(1):36-39..
2. GUPTA V, SINHA S, SINGH A K, et al. Growing skull fracture of ethmoid: a report of two cases[J]. J Craniomaxillofac Surg,2000,28(4):224-228..
3. HAYASHI Y, YAMAKI T, ODAKE G, et al. Long-term follow up of a growing skull fracture treated by dura and cranioplasty with artificial dura mater and methylmethacrylate[J]. Childs Nervous System,1997,13(6):349-351..
4. ZEGERS B, JIRA P, WILLEMSEN M, et al. The growing skull fracture, a rare complication of paediatric head injury[J]. Eur J Pediatrics,2003,162(7-8):556-557..
5. MILTOS K, SUGIULTZOGLU MARK M. Souweidane early management of craniocerebral injury with avoidance of post-traumatic leptomeningeal cyst formation[J]. Pediatr Neurosurg,2001,35:329-333..
6. 陈立朝,许民辉,邹咏文,等.颅骨生长性骨折的临床分析[J].第三军医大学学报,2007,29(20):2016-2017..
7. ERSAHIN Y, GULMEN V, PALALI I, et al. Growing skull fractures (craniocerebral erosion)[J]. Neurosurg Rev,2000,23(3):139-44..
8. YEN C P, CHEANG C M, LOH J K, et al. Growing skull fractures[J]. Kaohsiung J Med Sci,1999,15(3):175-181..
9. HAMAMCIOGLU M K, HICDONMEZ T, KILINCER C, et al. Large intradiploic growing skull fracture of the posterior fossa[J]. Pediatric Radiol,2006,36(1):68-70.〖ZK)〗.
10. CROCKER M, TAWARI G, ROBERTSON F, et al. Growing skull fracture in the absence of a dural tear[J]. Br J Neurosurg,2006,20(2):97-99..
11. GROSWASSER Z, COHEN M, REIDER-GROSWASSERI, et al. Incidence, CT findings and rehabilitation outcome of patients with communicative hydrocephalus following severe head injury[J]. Brain Inj,1998,2(4):267..
12. MIKI T, NAKAJIMA N, WADA J, et al. Cause of post-traumatic hydrocephalus because of traumatic aqueduct obstruction in two cases[J]. J Trauma,2006,61(4):985-989..
13. WU CHENG-CHENG. Diagnosis and treatment of post-traumatic hydrocephalus[J]. Med Inform Sect Oper Surg,2008,(1)..
14. TRIBL G, ODER W. Outcome after shunt implantation in severe head injury with post-traumatic hydrocephalus[J]. Brain Inj,2000,14(4):345-354..
15. LI G, WEN L, ZHAN R Y, et al. Cranioplasty for patients developing large cranial defects combined with post-traumatic hydrocephalus after head trauma[J]. Brain Inj,2008,22(4):333-337..

West China Medical Journal

Clinical Characteristics of Growing Skull Fractures in Children

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