Abstract
Introduction
Growing skull fracture (GSF) is a rare complication of head trauma in the pediatric population, commonly observed in children younger than 3 years.
Discussion
In this report, the authors describe a case of a 3-year-old male child, with clinical features of Ehlers-Danlos syndrome (EDS), who developed a GSF in frontal bone after a crib fall, treated with duraplasty and cranioplasty with autologous craft. Here, pertinent literature was reviewed with an emphasis on surgical techniques, and correlation with the mentioned syndrome.
Conclusion
This is the first case of GSF in association with EDS in the literature. The relevance of the case described concerns the rarity of the condition itself, the atypical presentation, and the intraoperative findings, which showed the important fragility of the dura mater, probably due to EDS. Therefore, this syndrome, besides having influenced the pathogenesis, was also a challenging factor in the surgical treatment.
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Acknowledgements
We would like to thank Mr. Alexandre Suguimoto, who works as a photographer at Hospital Sobrapar, for photographing the case.
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Bianca Gomes Wanderley: responsible for researching, literature review, writing the manuscript; Cleiton Formentin: responsible for literature review, writing—review and editing the manuscript; Dayvid Leonardo de Castro Oliveira: responsible for data collect, writing—review and editing the manuscript; Andrei Fernandes Joaquim: responsible for data collection, writing—review and editing the manuscript; Cássio Eduardo Adami Raposo do Amaral: responsible for reviewing the case report, editing the images, writing—review and editing the manuscript and supervision; Enrico Ghizoni: responsible for writing-review and editing the manuscript, and supervision.
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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of the Hospital of Sobrapar.
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Wanderley, B.G., Formentin, C., de Castro Oliveira, D.L. et al. Growing skull fracture in a child with Ehlers-Danlos syndrome: case report and literature review. Childs Nerv Syst 39, 2399–2405 (2023). https://doi.org/10.1007/s00381-023-06035-7
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DOI: https://doi.org/10.1007/s00381-023-06035-7