NEURORADIOLOGY


 
Case 13 : Film Reading Session

 

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DIAGNOSIS

 

 

 

 

 

 

 

Diagnosis:

Growing Fracture, patient has a history of trauma.

 

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Points To Remember 
  1.  Occur in almost 0.75% of skull fractures in children

  2.  The ongoing normal rapid growth of the child’s brain is an aggravating factor.

  3. Children may present weeks to years later after injury with a pulsatile mass or rarely with a depressed calcarial defect.

  4. Unabating CSF pulsations transmitted to the entrapped arachnoid protrusion result in the remodeling of bone of the growing skull, resulting in enlargement of the fracture line

  5. The term leptomeningeal cyst is now considered obselete.

 

Presented by Dr. Bhujang Pai, Consultant Radiologist at PD Hinduja Hospital, at the Film Reading Session at the 54th IRIA conference in Manipal, Jan 2001