Abstract
In this paper, we present 14 cases with depression fracture of the occipital bone in pediatric age. There were 7 males and 7 females. Their ages ranged from 1 year to 15 years with a median of 5.8 years. The most common causes were: falling (8 cases); traffic accidents (2); assault (2 cases). Five of our 14 cases had compound fractures and the remaining 9 had closed fractures. Epidural and subdural hematomas were observed in 5 and 1 cases, respectively. There was significant improvement in 11 cases: two patients died.
Similar content being viewed by others
References
Açikgöz B, Tahta K (1989) Acute management of depressed fractures in childhood. Riv Neurosc Ped 5: 123–127
Ammirati M, Tomita T (1984) Posterior fossa epidural hematoma during childhood. Neurosurgery 14: 541–544
Braakman R (1972) Depressed skull fracture: data, management and follow up in 225 cases. J Neurol Neurosurg Psychiatry 35: 396–402
Braakman R, Jennett B (1975) Depressed skull fractures, non-missile. In: Vinken PJ, Bruyn G (eds) Handbook of clinical neurology, vol 23. North-Holland, Amsterdam, pp 403–440
Campbell E, Whitfield RD, Greenwood R (1953) Extradural hematomas of the posterior fossa. Ann Surg 138: 509–517
Ciembroniewicz JE (1965) Subdural hematoma of the posterior fossa. Review of the literature with addition of three cases. J Neurosurg 22: 465–473
Fisher RG, Kim JK, Sachs E Jr (1958) Complication in posterior fossa due to occipital trauma. Their operability. JAMA 167: 176–182
Garza-Mercado R (1983) Extradural hematoma of the posterior cranial fossa. Report of seven cases with survival. J Neurosurg 59: 664–674
Jamieson KG, Yelland JDN (1968) Extradural hematoma. Report of 167 cases. J Neurosurg 29: 13–23
Jennett B, Teasdale G (1982) Management of head injuries. Davis, Philadelphia, pp 193–210
Liu-Shindo M, Hawkins DB (1989) Basilar skull fractures in children. Int J Pediatr Otorhinolaryngol 17: 109–117
Meredith JM (1961) Extradural hemorrhage in the posterior fossa. Diagnosis and treatment with a report of two surgically treated patients. Am J Surg 102: 524–531
Miller JD, Jennett B (1968) Complication of depressed fracture. Lancet II: 991–995
Nishizaki T, Tamaki N, Fujiwara H, Matsumoto S (1988) Posterior fossa subdural effusion due to head trauma. Neurosurgery 23: 81–84
Roda JM, Giménez D, Pérez-Higueras A, Blazquez MG, Pérez-Alvarez M (1983) Posterior fossa epidural hematoma: a review and synthesis. Surg Neurol 19: 419–424
Saleeby RG, LeFever HE, Harmon JM (1954) Acute posterior fossa epidural hematoma. Ann Surg 140: 748–751
Steinbok P, Floormark O, Martens D, German ET (1987) Management of simple depressed skull fractures in children. J Neurosurg 66: 506–510
Wright RL (1966) Traumatic hematomas of the posterior cranial fossa. J Neurosurg 25: 402–409
Young HA, Schmidek HH (1982) Complications accompanying occipital skull fracture. J Trauma 22: 914–920
Zuccarello M, Pardatsc K, Andrioli GC, Fiore DL, Iavicoli R, Carvelli P (1981) Epidural hematomas of the posterior cranial fossa. Neurosurgery 8: 434–437
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Çolak, A., Berker, M. & Özcan, O.E. Occipital depression fractures in childhood. Child's Nerv Syst 7, 103–105 (1991). https://doi.org/10.1007/BF00247866
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00247866