Unusual Complication of a Neglected Growing Skull Fracture.
INTRODUCTION
The growing skull fracture (GSF) is a rare complication seen after head injury in infants and young children. It occurs due to a wide skull defect with underlying dural defect and changes in pressure gradients within skull cavity. Neglected cases may develop progressive neurological deficits and complications after second head trauma. Case Discussion: We present a 14-year-old child who developed sudden-onset, diffuse, soft, fluctuant, circumferential swelling of the head after a road traffic accident. He had sustained a head injury at the age of 3-months leading to an asymptomatic soft swelling over the skull which was left untreated. Present CT scan of the brain showed a bony defect with ragged edges and cerebrospinal fluid (CSF) collection in subgaleal space circumferentially. He underwent exploration, duroplasty, and cranioplasty and had a good outcome.


CONCLUSION
Neglected GSF can rupture and cause diffuse subgaleal CSF collection. It should be managed with dural repair and cranioplasty.
['Kulkarni|Akshay Vijay|AV|', 'Dikshit|Priyadarshi|P|', 'Devi|B Indira|BI|', 'Sadashiva|Nishanth|N|', 'Shukla|Dhaval|D|', 'Bhat|Dhananjaya I|DI|']
D000293:Adolescent D001921:Brain D002648:Child D002675:Child, Preschool D006259:Craniocerebral Trauma D006801:Humans D007223:Infant D008297:Male D012886:Skull D012887:Skull Fractures D014057:Tomography, X-Ray Computed
Growing skull fracture Delayed presentation of growing skull fracture Neglected leptomeningeal cyst Unusual complications of growing skull fracture