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Linear undisplaced fracture of temporoparietal bone acting as spontaneous early decompressive craniotomy in a neonate

Siddharth Vankipuram, Srikant Balasubramanium, Devendra K Tyagi, HV Savant

Journal of Pediatric Neurosciences 2015 10(3):261-263

Decompressive craniotomy (DC) is used to treat intracranial hypertension associated with traumatic brain injury. Early DC is associated with better outcomes. We present a neonate with a history of fall with computed tomography scan showing a large frontoparietal contusion and associated parietal and temporal bone fracture. This acted as a spontaneous DC causing bony segment to separate due to which the edematous brain could be accommodated. Despite the presence of a large contusion, the child was neurologically intact and medically managed. The neonate presented with a posttraumatic leptomeningeal cyst 2 months later, which had to be repaired surgically. We discuss how a linear undisplaced fracture acts as spontaneous DC and the role of early DC in improving outcomes.

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