Abstract:
BACKGROUND:Growing skull fracture (GSF)/pseudomeningocele is a rare complication of head injury in children. Post-traumatic intradiploic arachnoid cyst (PTIAC) is a variant but it is extremely rare. PTIACs are usually asymptomatic or with mild symptoms like headache. The rupture of PTIAC due to re-trauma leading to pseudomeningocele formation has not been seen or reported before. PATIENT AND METHOD:We present a case of occipital PTIAC where pseudomeningocele developed after re-trauma, and discuss the pathogenesis and management. RESULT:En masse removal of the ruptured PTIAC was performed along with dural-defect repair. The post-operative recovery was good. CONCLUSION:PTIAC is an extremely rare occurrence as a variant of GSF. It is usually asymptomatic, but it may rupture with trivial trauma due to a thinned-out outer table and then converts into pseudomengocele. En masse excision with dural-defect repair gives good results in cases of ruptured PTIAC due to re-trauma.
journal_name
Pediatr Neurosurgjournal_title
Pediatric neurosurgeryauthors
Jaiswal M,Gandhi A,Sharma A,Mittal RSdoi
10.1159/000369936subject
Has Abstractpub_date
2015-01-01 00:00:00pages
53-5issue
1eissn
1016-2291issn
1423-0305pii
000369936journal_volume
50pub_type
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