Neuro

Skull Fracture from Birth Trauma

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Skull Fracture from Birth Trauma

  • Signs
  1. Linear Fracture with soft tissue swelling
    1. May be asymptomatic
  2. Depressed Fracture
    1. Visible, palpable indentation
  3. Fracture may be hidden beneath Cephalhematoma
  • Associated Conditions
  1. Cephalhematoma
  2. Intracranial Hemorrhage
  3. Brain Contusion
  4. Seizure
  • Complications
  1. Leptomeningeal Cyst
  • Radiology
  1. Skull XRay
    1. Diagnose Skull Fracture
    2. Rule-out Leptomeningeal Cyst
  2. CT Head
    1. Intracranial Hemorrhage
    2. Intracranial edema
  • Management
  1. Depressed Skull Fracture: Neurosurgery Consultation
  2. Non-displaced Skull Fracture: Re-XRay in 4-6 weeks
    1. Ensure Fracture line closure
    2. Rule-out Leptomeningeal Cyst formation