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Intradiploic growing skull fracture: review of mechanisms and literature

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Abstract

Purpose

A rare case of intradiploic growing fracture of the occipital bone is presented. Examination of this case and literature review was carried out to find significant specific features of such a rare condition.

Case

A 4-year-old boy was operated on for a huge occipital intradiploic growing skull fracture. His medical history, surgical management, and postoperative course are presented.

Literature review

A computer literature search using the Medline database revealed 31 well-documented cases.

Conclusions

Special attention must be paid to skull fractures in childhood when occurring near CSF large spaces, especially if ventricle enlargement, suggesting that hydrocephalus is present. Surgeons should evaluate hydrocephalus before treating such lesions in order to improve surgical result and postoperative clinical evolution.

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References

  1. Ersahin Y, Gülmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23:139–144

    Article  CAS  PubMed  Google Scholar 

  2. Lende RA, Erickson TC (1961) Growing skull fractures of childhood. J Neurosurg 18:479–489

    Article  CAS  PubMed  Google Scholar 

  3. Açikgöz B, Tekkök IH (2002) Post-traumatic intradiploic leptomeningeal fistula and cyst. J Clin Neurosci 9:468–473

    Article  PubMed  Google Scholar 

  4. Agrawal D, Mishra S (2010) Post-traumatic intradiploic pseudomeningocele. Indian Pediatr 47:271–273

    Article  PubMed  Google Scholar 

  5. Dunkser SB, McCreary HS (1971) Leptomeningeal cyst of the posterior fossa. Case report. J Neurosurg 34:687–692

    Article  CAS  PubMed  Google Scholar 

  6. Gorgulu A, Albayrak BS (2006) Giant intradiploic leptomeningeal cyst of the posterior fossa. Acta Neurochir (Wien) 148:923–924

    Article  CAS  Google Scholar 

  7. Gupta DK, Mahapatra AK (2006) Posttraumatic intradiploic pseudomeningocele: neuroimaging. Pediatr Neurosurg 42:200–201

    Article  PubMed  Google Scholar 

  8. Hamamcioglu MK, Hicdonmez T, Kilincer C, Cobanoglu S (2006) Large intradiploic growing skull fracture of the posterior fossa. Pediatr Radiol 36:68–70

    Article  PubMed  Google Scholar 

  9. Jaiswal M, Gandhi A, Sharma A, Mittal RS (2015) Occipital post-traumatic intradiploic arachnoid cyst converted to pseudomeningocele after re-trauma: a rare complication of rare pathology. Pediatr Neurosurg 50:53–55

    Article  PubMed  Google Scholar 

  10. Kadri H, Mawla AA (2004) Late appearance of hydrocephalus associated with posttraumatic intradiploic arachnoid cyst. Childs Nerv Syst 20:494–495

    Article  PubMed  Google Scholar 

  11. Kajima M, Maeyama R (1981) Intradiploic leptomeningeal cyst of the posterior fossa. A case report. Neurol Med Chir (Tokyo) 21:785–788

    Article  Google Scholar 

  12. Kumar R, Chandra SP, Sharma BS (2012) Giant intradiploic pseudomeningocele of occipital bone. J Neurosurg Pediatr 9:82–85

    Article  PubMed  Google Scholar 

  13. Kumar R, Sahu RN, Srivastav AK, Mehrotra A, Das KK (2012) An unusual case of post-traumatic intradiploic leptomeningeal cyst and review of the literature. Neurol India 60:245–247

    Article  PubMed  Google Scholar 

  14. Lyle Hillman RS, Kieffer SA, Ortiz H, Clubb R (1975) Intraosseous leptomeningeal cysts of the posterior cranial fossa. Radiology 116:655–659

    Article  CAS  PubMed  Google Scholar 

  15. Mahaney KB, Menezes AH (2014) Intradiploic occipital pseudomeningocele in a patient with remote history of surgical treatment of Chiari malformation. J Neurosurg Spine 21:769–772

    Article  PubMed  Google Scholar 

  16. Mahapatra AK, Tandon PN (1989) Post-traumatic intradiploic pseudomeningocele in children. Acta Neurochir (Wien) 100:120–126

    Article  CAS  Google Scholar 

  17. Martínez-Lage JF, Martínez Pérez M, Domingo R, Poza M (1997) Posttraumatic intradiploic arachnoid cyst of the posterior fossa. Childs Nerv Syst 13:293–296

    Article  PubMed  Google Scholar 

  18. Palaoglu S, Beskonakli E, Senel K, Taskin Y, Yalcinlar Y (1990) Intraosseous location of posterior fossa posttraumatic leptomeningeal cyst. Demonstration by computerized tomography. Neuroradiology 32:78

    Article  CAS  PubMed  Google Scholar 

  19. Peyser E, Weissberg D (1961) Post-traumatic arachnoidal cyst. Report of an unusual case. J Neurosurg 18:551–553

    Article  CAS  PubMed  Google Scholar 

  20. Sato TS, Moritani T, Hitchon P (2009) Occipital intradiploic CSF pseudocyst: an unusual complication of a ventriculoperitoneal shunt malfunction. Am J Neuroradiol 30:635–636

    Article  CAS  PubMed  Google Scholar 

  21. Seo B, Lee J, Jeong I, Moon S, Joo S, Kim T, Kim J, Kim S (2009) Post-traumatic intradiploic leptomeningeal cyst of the posterior fossa in an adult. J Clin Neurosci 16:1367–1369

    Article  PubMed  Google Scholar 

  22. Thomas TA, Rout D (2010) Non-traumatic intraosseous cerebrospinal fluid cyst with associated craniovertebral anomalies: a case report and suggested mechanism of formation. Neurol India 58:122–124

    Article  PubMed  Google Scholar 

  23. Tizzard S, Gleave J, Antoun N, Macfarlane R (2001) Occipito-clival intradiploic meningocoele following skull fracture in infancy. Br J Neurosurg 15:188–190

    Article  CAS  PubMed  Google Scholar 

  24. Turgut M, Ozcan OE, Karaman CZ (1998) Post-traumatic intra-osseous pseudomeningocele of the occipital bone. Australas Radiol 42:262–263

    Article  CAS  PubMed  Google Scholar 

  25. Alfieri A, Zona G, Cirillo S, Spaziante R (1996) Intradiploic arachnoid cyst: case report. Neuroradiology 38:569–571

    Article  CAS  PubMed  Google Scholar 

  26. D'Almeida AC, King RB (1981) Intradiploic cerebrospinal fluid fistula. Report of two cases. J Neurosurg 54:84–88

    Article  PubMed  Google Scholar 

  27. Hande AM, Karapurkar AP (1991) Hemorrhage into an intradiploic arachnoid cyst. Case report. J Neurosurg 75:969–971

    Article  CAS  PubMed  Google Scholar 

  28. Lunardi P, Missori P, Artico M, Fortuna A (1991) Posttraumatic intradiploic leptomeningeal cyst in an adult: case report. Surg Neurol 35:475–477

    Article  CAS  PubMed  Google Scholar 

  29. Macmilan AI, Bartlett RJ, Brocklehurst G (1997) Intradiploic meningocoele in a 16-year-old girl. Br J Neurosurg 11:359–361

    Article  Google Scholar 

  30. Menkü A, Koç RK, Tucer B, Akdemir H (2004) Is skull fracture necessary for developing an intradiploic pseudomeningocele as a complication of head injury in adulthood? Acta Neurochir (Wien) 146:623–627

    Article  Google Scholar 

  31. Patil AA, Etemadrezaie H (1996) Posttraumatic intradiploic meningoencephalocele. Case report. J Neurosurg 84:284–287

    Article  CAS  PubMed  Google Scholar 

  32. Sartawi M, Schwartz FT, Fox JL (1973) An unusual osteolytic lesion of the skull due to a traumatic arachnoid cyst. Neuroradiology 6:180–181

    Article  CAS  PubMed  Google Scholar 

  33. Weinand ME, Rengachary SS, McGregor DH, Watanabe I (1989) Intradiploic arachnoid cysts. Report of two cases. J Neurosurg 70:954–958

    Article  CAS  PubMed  Google Scholar 

  34. Yamaguchi S, Hirohata T, Sumida M, Arita K, Kurisu K (2002) Intradiploic arachnoid cyst identified by diffusion-weighted magnetic resonance imaging–case report. Neurol Med Chir (Tokyo) 42:137–139

    Article  Google Scholar 

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Acknowledgments

The authors thank Mrs. Deirdre McKeown for her help with the English language.

Conflict of interest

The authors declare that they have no conflict of interest.

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Correspondence to Laurent Riffaud.

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Le Fournier, L., Hénaux, Pl., Haegelen, C. et al. Intradiploic growing skull fracture: review of mechanisms and literature. Childs Nerv Syst 31, 2199–2205 (2015). https://doi.org/10.1007/s00381-015-2793-4

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  • DOI: https://doi.org/10.1007/s00381-015-2793-4

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