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ISSN 2007-3194 (Print)
Órgano de difusión oficial del Instituto Materno Infantil del Estado de México

2018, Number 2

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Arch Inv Mat Inf 2018; 9 (2)

Newborn ping-pong skull fracture and its surgical treatment: a case report

Cortés MRA, Román GSR, Mejía FAA, Juárez JGA, Urcid GLA, Castillo RC

Language: Spanish
References: 9
Page: 60-63
PDF size: 178.84 Kb.


ABSTRACT

Ping-pong cranial fractures represent a challenge in decision-making for neurosurgeons, who have to choose between a conservative versus surgical treatment. The low incidence of this issue, reports of different techniques, and lack of clinical guidelines and solid evidence are reasons for the absence of an integrated algorithm guiding the definitive treatment to improve the prognosis, as the universal literature shows. We present the case of a newborn male patient, product of a single pregnancy, with 16 days of extrauterine life, obtained by caesarean section, which was referred to our institution with a diagnosis of congenital depressed skull fracture. The physical examination showed no neurological symptoms except for the presence of an important depression of the cranial vault at the frontotemporoparietal level. Due to the characteristics of the lesion, surgical treatment was decided. The importance of the presentation of the case is the low frequency of the pathology worldwide and the surgical solution that was given to the patient in our hospital. We contribute the surgical technique to the recent literature on the management of depressed fractures and for the possible future development of clinical guidelines for their treatment.


REFERENCES

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