Internal open brain injury or cranial burst fracture: report of 8 cases.

Abstract:

AIMS:We report a special type of skull fracture in children - internal open brain injury (IOBI). We summarize its clinical characteristics and propose a treatment strategy based on our experience. METHODS:Eight patients between 2 and 5 years old were identified to have IOBI. Preoperative computed tomography (CT) scanning was performed in each case and magnetic resonance imaging was conducted when available. All patients were treated surgically. The clinical data were retrospectively analyzed and each patient underwent follow-up CT scanning. RESULTS:IOBI has no special clinical manifestations other than scalp swelling, linear skull fracture and local brain contusion. Acute cerebral extrusion outside the calvaria and lacerated dura mater were seen during operation in each patient. Each patient's neurological status generally improved after surgery. No patient developed posttraumatic epilepsy during the 4- to 20-month follow-up period. CONCLUSIONS:IOBI is a type of head trauma in which dura mater is lacerated and the cerebrum is extruded outside the calvaria but the scalp remains intact. Craniotomy with evacuation of devitalized brain tissue and dural repair should be performed.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Yang CH,Li Q,Li GP,You C

doi

10.1159/000260912

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

402-6

issue

5

eissn

1016-2291

issn

1423-0305

pii

000260912

journal_volume

45

pub_type

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