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2016, Number 1

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Med Sur 2016; 23 (1)

Neonatal skull depression

Galván-Bautista E, García-Gómez J
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Language: English
References: 5
Page: 49-50
PDF size: 112.59 Kb.


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CASE REPORT

A preterm (36weeks) male infant weighing 2,660 g was delivered by uncomplicated cesarean section, to a healthy 33 years-old primigravida. The pregnancy had been normal. Prenatal sonography is reported with oligohydramnios, this was the cause of C-section. The baby was delivered in good condition (Apgar scores 9 and 9 at one and five minutes). A left parietal skull depression was noted clinically. Both neurologic and physical examination was normal. There was no edema or hematoma in the area of the skull abnormality. The skull radiographs performed and showed the left parietal depression. Computed tomography with three dimensional reconstruction images revealed a 1.1 cm depression in the left parietal bone (Figures 1 and 2).


REFERENCES

  1. Atay E, Tokmak M, Can E, Ovali F. Congenital depressed fracture of the skull in a neonate. J Neonatal-Perinatal Med 2012; 5: 71-4.

  2. Ben-Ari Y, Merlob P, Hirsch M, Reisner SH. Congenital depression of the neonatal skull. Eur J Obstet Gynecol Reprod Biol 1986; 22: 249-55.

  3. Eisenberg D, Kirchner SG, Perrin EC. Neonatal skull depression unassociated with birth trauma. AJR 1984; 143: 1063-4.

  4. Zalatimo O, Ranasinghe M, Dias M, Iantosca M. Treatment of depressed skull fractures in neonates using percutaneous microscrew elevation. J Neurosurg Pediatr 2012; 9: 676-9.

  5. Brittain C, Muthukumar P, Job S, Sanka S. ‘Ping pong’ fracture in a term infant. BMJ Case Rep 2012. Doi: 10.1136/ bcr.01.2012.5631.




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Med Sur. 2016;23