Koç R K, Kurtsoy A, Oktem I S, Akdemir H
Department of Neurosurgery, Erciyes University, Faculty of Medicine, Kayseri,
Pediatr Neurosurg. 1999 Jan;30(1):35-8. doi: 10.1159/000028758.
Growing skull fractures are rare complications of head trauma and very rarely arise in the skull base. The clinical and radiological finding and treatment of a growing fracture of the orbital roof in a 5-year-old boy are reported, and the relevant literature is reviewed. The clinical picture was eyelid swelling. Computed tomography (CT) scan was excellent for demonstrating the bony defect in the orbital roof. Frontobasal brain injury seems to play an important role in the pathogenesis of the fracture growth. Growing skull fracture of the orbital roof should be considered in the differential diagnosis in cases of persistent ocular symptoms. Craniotomy with excision of gliotic brain and granulation tissue, dural repair and cranioplasty is the treatment of choice.
颅骨生长性骨折是头部外伤的罕见并发症，极少发生于颅底。本文报告了一名5岁男孩眶顶生长性骨折的临床、影像学表现及治疗情况，并对相关文献进行了综述。临床表现为眼睑肿胀。计算机断层扫描（CT）对显示眶顶骨质缺损效果极佳。额底脑损伤似乎在骨折生长的发病机制中起重要作用。对于持续存在眼部症状的病例，鉴别诊断时应考虑眶顶生长性骨折。治疗首选开颅手术，切除胶质化的脑组织和肉芽组织，修复硬脑膜并进行颅骨成形术。
