Growing skull fracture is a well known entity in neurosurgical literature. However growing skull fracture of the orbit is relatively rare and hence remains under diagnosed. Orbital fracture is more common in children. This fracture can even expand several months or years later by everting its edges. This can result in herniation of brain into orbit which can produce variable symptoms. We present a 3 year old girl with history of fall from height. Ophthalmological examination revealed left inferior displacement of the globe with proptosis and restriction of movement in left upper outer field. Sequential radiological examination revealed a growing skull fracture of orbit. Repair of the orbital roof was done with Titanium miniplates and screws and follow up examination showed complete disappearance of proptosis. The exact pathophysiology of growing fractures is still debated in the literature, but a dural laceration along a fracture line is noted in all cases, and frontobasal brain injury seems to play an important role in the pathogenesis of the fracture growth. Growing skull fracture of the orbital roof should be considered in the differential diagnosis in cases of persistent ocular symptoms. Early diagnosis and management is extremely important in the optimum management and good long-term prognosis of the patient.
| Published in | Clinical Neurology and Neuroscience (Volume 5, Issue 2) |
| DOI | 10.11648/j.cnn.20210502.11 |
| Page(s) | 10-12 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Growing Skull Fracture, Proptosis, Orbital Roof
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APA Style
Sudhir Suggala, Daljit Singh. (2021). Proptosis with Growing Skull Fracture of Orbit: A Lesser Known Entity. Clinical Neurology and Neuroscience, 5(2), 10-12. https://doi.org/10.11648/j.cnn.20210502.11
ACS Style
Sudhir Suggala; Daljit Singh. Proptosis with Growing Skull Fracture of Orbit: A Lesser Known Entity. Clin. Neurol. Neurosci. 2021, 5(2), 10-12. doi: 10.11648/j.cnn.20210502.11
AMA Style
Sudhir Suggala, Daljit Singh. Proptosis with Growing Skull Fracture of Orbit: A Lesser Known Entity. Clin Neurol Neurosci. 2021;5(2):10-12. doi: 10.11648/j.cnn.20210502.11
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Download@article{10.11648/j.cnn.20210502.11,
author = {Sudhir Suggala and Daljit Singh},
title = {Proptosis with Growing Skull Fracture of Orbit: A Lesser Known Entity},
journal = {Clinical Neurology and Neuroscience},
volume = {5},
number = {2},
pages = {10-12},
doi = {10.11648/j.cnn.20210502.11},
url = {https://doi.org/10.11648/j.cnn.20210502.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20210502.11},
abstract = {Growing skull fracture is a well known entity in neurosurgical literature. However growing skull fracture of the orbit is relatively rare and hence remains under diagnosed. Orbital fracture is more common in children. This fracture can even expand several months or years later by everting its edges. This can result in herniation of brain into orbit which can produce variable symptoms. We present a 3 year old girl with history of fall from height. Ophthalmological examination revealed left inferior displacement of the globe with proptosis and restriction of movement in left upper outer field. Sequential radiological examination revealed a growing skull fracture of orbit. Repair of the orbital roof was done with Titanium miniplates and screws and follow up examination showed complete disappearance of proptosis. The exact pathophysiology of growing fractures is still debated in the literature, but a dural laceration along a fracture line is noted in all cases, and frontobasal brain injury seems to play an important role in the pathogenesis of the fracture growth. Growing skull fracture of the orbital roof should be considered in the differential diagnosis in cases of persistent ocular symptoms. Early diagnosis and management is extremely important in the optimum management and good long-term prognosis of the patient.},
year = {2021}
}
TY - JOUR T1 - Proptosis with Growing Skull Fracture of Orbit: A Lesser Known Entity AU - Sudhir Suggala AU - Daljit Singh Y1 - 2021/04/20 PY - 2021 N1 - https://doi.org/10.11648/j.cnn.20210502.11 DO - 10.11648/j.cnn.20210502.11 T2 - Clinical Neurology and Neuroscience JF - Clinical Neurology and Neuroscience JO - Clinical Neurology and Neuroscience SP - 10 EP - 12 PB - Science Publishing Group SN - 2578-8930 UR - https://doi.org/10.11648/j.cnn.20210502.11 AB - Growing skull fracture is a well known entity in neurosurgical literature. However growing skull fracture of the orbit is relatively rare and hence remains under diagnosed. Orbital fracture is more common in children. This fracture can even expand several months or years later by everting its edges. This can result in herniation of brain into orbit which can produce variable symptoms. We present a 3 year old girl with history of fall from height. Ophthalmological examination revealed left inferior displacement of the globe with proptosis and restriction of movement in left upper outer field. Sequential radiological examination revealed a growing skull fracture of orbit. Repair of the orbital roof was done with Titanium miniplates and screws and follow up examination showed complete disappearance of proptosis. The exact pathophysiology of growing fractures is still debated in the literature, but a dural laceration along a fracture line is noted in all cases, and frontobasal brain injury seems to play an important role in the pathogenesis of the fracture growth. Growing skull fracture of the orbital roof should be considered in the differential diagnosis in cases of persistent ocular symptoms. Early diagnosis and management is extremely important in the optimum management and good long-term prognosis of the patient. VL - 5 IS - 2 ER -
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