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BACKGROUND Growing skull fractures are a rare complication of head injuries (Ersahin et al. in Neurosurg Rev 23:139-144, 2000; Hayashi et al. in Childs Nerv Syst 13:349-351, 1997; Ramamurthi and Kalyanaraman in Neurosurgery 32:427-430, 1970; Zegers et al. in Eur J Pediatr 162:556-557, 2003). Although early diagnosis and prompt treatment are important to prevent the underlying progressive brain damage, the clinical presentation and the morphological investigations are rarely specific or sensitive shortly after the trauma. CONCLUSIONS The authors present three cases of growing skull fractures: the use of ultrasonography (US) via the fracture line contributed to early diagnosis and prompt treatment in two cases. US was not performed in the third case, and this delayed management. Treatment consisted of a watertight duraplasty with a free flap of pericranium without cranioplasty. US via the fracture line appears to be a sensitive and reliable method of detecting the dural tears in the early stages of growing skull fractures. CONCLUSIONS Duraplasty alone with a flap of pericranium remains the simplest and least expensive method of treatment. Cranioplasty is not necessary in young children.
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A K Njamnshi, and
P Ongolo-Zogo, and
M Kobela, and
B Rilliet, and
A Essomba, and
M A Sosso
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Indian pediatrics,
V de P Djientcheu, and
A K Njamnshi, and
P Ongolo-Zogo, and
M Kobela, and
B Rilliet, and
A Essomba, and
M A Sosso
August 1982,
The Nebraska medical journal,
V de P Djientcheu, and
A K Njamnshi, and
P Ongolo-Zogo, and
M Kobela, and
B Rilliet, and
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M A Sosso
March 1999,
The Kaohsiung journal of medical sciences,
V de P Djientcheu, and
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M Kobela, and
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May 1977,
Southern medical journal,
V de P Djientcheu, and
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Journal of neurosurgery,
V de P Djientcheu, and
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October 1993,
Singapore medical journal,
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December 1966,
Developmental medicine and child neurology,
V de P Djientcheu, and
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JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR),
V de P Djientcheu, and
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November 1974,
Virginia medical monthly,
V de P Djientcheu, and
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P Ongolo-Zogo, and
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January 1967,
Il Fracastoro,
