Congenital Depressed Skull Fracture
|
Patrícia Campos1, Patrícia Gomes Pereira1, José Gustavo Soares2, Marta Mesquita1
1Pediatrics Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal, 2Neurosurgery Department, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
Address for Correspondence: Patrícia Campos, Av. Artur Ravara 35, 3810-164 Aveiro, Portugal.
Email: appcampos94@gmail.com
|
Keywords : Depressed skull fracture, Ping-pong fracture, Congenital fracture, Spontaneous fracture, Newborn, Neurosurgery.
|
Question :A male term newborn was delivered at 39 weeks of gestation from a 43-year-old woman by an urgent caesarean for fetal bradycardia. Pregnancy was complicated with gestacional diabetes controlled with metformin. Fetal ultrasounds were normal and there was no history of prenatal maternal trauma. The fetus was difficult to extract but no obstetric instruments were used during delievery. He adapted well with an Apgar score of 9 and 10 at first and fifth minutes, respectively. Somatometry at birth was adequate for gestational age: weight of 3500g (50th percentile), length of 48 cm (15th-50th percentile) and head circumference of 35,5 cm (50th-85th percentile). Postbirth physical examination revealed a depression in the right parietal region measuring 4 x 3 cm with 2 cm depth (Figure 1). No local bruising or soft tissue swelling was evident. His neurological examination was normal and there were no other congenital abnormalities.
Figure 1. Depression in the newborn’s right parietal bone (at birth).  What is the diagnosis?
|
|
|
|
|
|
|
|