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.
Similar content being viewed by others
References
Ersahin Y, Gülmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23:139–144
Lende RA, Erickson TC (1961) Growing skull fractures of childhood. J Neurosurg 18:479–489
Açikgöz B, Tekkök IH (2002) Post-traumatic intradiploic leptomeningeal fistula and cyst. J Clin Neurosci 9:468–473
Agrawal D, Mishra S (2010) Post-traumatic intradiploic pseudomeningocele. Indian Pediatr 47:271–273
Dunkser SB, McCreary HS (1971) Leptomeningeal cyst of the posterior fossa. Case report. J Neurosurg 34:687–692
Gorgulu A, Albayrak BS (2006) Giant intradiploic leptomeningeal cyst of the posterior fossa. Acta Neurochir (Wien) 148:923–924
Gupta DK, Mahapatra AK (2006) Posttraumatic intradiploic pseudomeningocele: neuroimaging. Pediatr Neurosurg 42:200–201
Hamamcioglu MK, Hicdonmez T, Kilincer C, Cobanoglu S (2006) Large intradiploic growing skull fracture of the posterior fossa. Pediatr Radiol 36:68–70
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
Kadri H, Mawla AA (2004) Late appearance of hydrocephalus associated with posttraumatic intradiploic arachnoid cyst. Childs Nerv Syst 20:494–495
Kajima M, Maeyama R (1981) Intradiploic leptomeningeal cyst of the posterior fossa. A case report. Neurol Med Chir (Tokyo) 21:785–788
Kumar R, Chandra SP, Sharma BS (2012) Giant intradiploic pseudomeningocele of occipital bone. J Neurosurg Pediatr 9:82–85
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
Lyle Hillman RS, Kieffer SA, Ortiz H, Clubb R (1975) Intraosseous leptomeningeal cysts of the posterior cranial fossa. Radiology 116:655–659
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
Mahapatra AK, Tandon PN (1989) Post-traumatic intradiploic pseudomeningocele in children. Acta Neurochir (Wien) 100:120–126
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
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
Peyser E, Weissberg D (1961) Post-traumatic arachnoidal cyst. Report of an unusual case. J Neurosurg 18:551–553
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
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
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
Tizzard S, Gleave J, Antoun N, Macfarlane R (2001) Occipito-clival intradiploic meningocoele following skull fracture in infancy. Br J Neurosurg 15:188–190
Turgut M, Ozcan OE, Karaman CZ (1998) Post-traumatic intra-osseous pseudomeningocele of the occipital bone. Australas Radiol 42:262–263
Alfieri A, Zona G, Cirillo S, Spaziante R (1996) Intradiploic arachnoid cyst: case report. Neuroradiology 38:569–571
D'Almeida AC, King RB (1981) Intradiploic cerebrospinal fluid fistula. Report of two cases. J Neurosurg 54:84–88
Hande AM, Karapurkar AP (1991) Hemorrhage into an intradiploic arachnoid cyst. Case report. J Neurosurg 75:969–971
Lunardi P, Missori P, Artico M, Fortuna A (1991) Posttraumatic intradiploic leptomeningeal cyst in an adult: case report. Surg Neurol 35:475–477
Macmilan AI, Bartlett RJ, Brocklehurst G (1997) Intradiploic meningocoele in a 16-year-old girl. Br J Neurosurg 11:359–361
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
Patil AA, Etemadrezaie H (1996) Posttraumatic intradiploic meningoencephalocele. Case report. J Neurosurg 84:284–287
Sartawi M, Schwartz FT, Fox JL (1973) An unusual osteolytic lesion of the skull due to a traumatic arachnoid cyst. Neuroradiology 6:180–181
Weinand ME, Rengachary SS, McGregor DH, Watanabe I (1989) Intradiploic arachnoid cysts. Report of two cases. J Neurosurg 70:954–958
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
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.
Funding
None
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-015-2793-4