Summary
A 6 1/2-year-old child, who had suffered a depressed fracture of the skull at the age of 1 1/2, had an extensive tumor of the scalp. Microscopic evaluation showed the growth to be a pseudotumor. The spongy tissue proved to be a chronic subdural hygroma containing structures resembling pacchionian granulations. A CSF fistula was demonstrated surgically. The fistula was assumed to be responsible for the metaplastic proliferation of subcutaneous and galeal connective tissue. A growing fracture was not present.
Zusammenfassung
Ein ausgedehnter Tumor der Kopfschwarte bei einem 6 1/2jährigen Kind mit 5 Jahre zurückliegender Impressionsfraktur erwies sich mikroskopisch als Pseudotumor. Das Gewebe entsprach einem feingekammerten chronischen Hygrom mit Ausbildung von Strukturen nach Art Pacchionischer Granulationen. Es wird angenommen, daß die operativ nachgewiesene Liquorfistel zu einer entsprechenden Metaplasie des subkutanen und galealen Bindegewebes führte. Es bestand keine wachsende Fraktur.
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Dedicated to Prof. Dr. Dr. h. c. K. J. Zülch on occasion of his 70th birthday.
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Giromini, D., Peiffer, J. & Tzonos, T. Pseudotumor of the scalp caused by a chronic hygroma with a traumatic CSF fistula. Neurosurg. Rev. 4, 33–36 (1981). https://doi.org/10.1007/BF01787230
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DOI: https://doi.org/10.1007/BF01787230
Key words
- Craniocerebral injury
- CSF-fistula
- Posttraumatic fracture of the skull
- Depressed fracture
- Growing head injury