Caffo M, Germanò A, Caruso G, Meli F, Calisto A, Tomasello F
Neurosurgical Clinic, University of Messina School of Medicine, Via Consolare Valeria I, 98125 Messina, Italy.
Acta Neurochir (Wien). 2003 Mar;145(3):201-8; discussion 208. doi: 10.1007/s00701-002-1054-y.
Growing Skull Fractures (GSF) are rare complications of head trauma, primarily reported in infancy and early childhood. GSF are commonly located on calvaria, and rarely in other locations, including the skull base.
In this study, we report two cases of GSF occurring in unusual locations. The first, a 8-month old girl, with a GSF of the suboccipital posterior fossa region, and the second, a 4-year old boy with a GSF of the right orbital roof. Both cases underwent operative treatment of the GSF, with microsurgical dissection and excision of the protruding gliotic brain tissue, watertight duraplasty and autologous bone cranial repair. The authors conducted a Medline search of the relevant English literature from 1966 to 2002.
From the search, three cases of suboccipital posterior fossa region GSF and twelve series of orbital GSF, describing a total of 22 cases, have been found.
A survey of the pathogenic mechanisms underlying this entity in these locations is reported. A review of suboccipital posterior fossa and orbital roof GSF cases, of nosological, ophthalmological and neurological data, neuroradiological and operative findings, and results of different treatment strategies are described.
生长性颅骨骨折（GSF）是头部外伤的罕见并发症，主要见于婴儿期和儿童早期。GSF通常位于颅盖骨，很少见于其他部位，包括颅底。
在本研究中，我们报告了两例发生在不寻常部位的GSF病例。第一例是一名8个月大的女孩，枕下后颅窝区域发生GSF；第二例是一名4岁男孩，右侧眶顶发生GSF。两例均接受了GSF的手术治疗，包括显微手术分离和切除突出的胶质化脑组织、严密的硬脑膜成形术和自体颅骨修复。作者对1966年至2002年的相关英文文献进行了Medline检索。
通过检索，发现了3例枕下后颅窝区域GSF病例和12组眶部GSF病例，共描述了22例。
报告了对这些部位该疾病潜在致病机制的调查。描述了对枕下后颅窝和眶顶GSF病例的回顾，包括疾病分类学、眼科和神经学数据、神经放射学和手术结果以及不同治疗策略的结果。
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