133 -4 (66) 2024 - Achilov Lukmon Gayratovich - SPONTANEOUS DEPRESSED SKULL FRACTURE IN A FULL-TERM NEWBORN

SPONTANEOUS DEPRESSED SKULL FRACTURE IN A FULL-TERM NEWBORN

Achilov Lukmon Gayratovich Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

Non-traumatic depressed skull fractures in newborns, known as "ping-pong" fractures, are uncommon, occurring at rates of 1 to 2.5 per 10,000 live births. These fractures are due to the pliability of the neonatal skull, which is not fully ossified. Treatment strategies depend on fracture severity, with conservative methods usually preferred. Surgical or device-based interventions may be necessary for severe cases. This case study describes a spontaneous ping-pong fracture in a full-term infant, detailing its clinical course and management. Despite the absence of neurological symptoms, surgical intervention was required due to brain compression. Delayed surgery followed by successful treatment led to excellent overall and neurological outcomes. This case underscores the importance of thorough clinical and neurological evaluations in managing rare neonatal skull fractures, including ping-pong fractures.

Keywords: Depressed skull fracture, Ping-Pong fracture, Congenital skull depression

First page

739

Last page

743

For citation: Achilov Lukmon Gayratovich - SPONTANEOUS DEPRESSED SKULL FRACTURE IN A FULL-TERM NEWBORN//New Day in Medicine 4(66)2024 739-743 https://newdayworldmedicine.com/en/article/3758

List of References

  1. Alexander EJr, Davis CD Jr. Intra-uterine fracture of the infant’s skull. //Journal of Neurosurgery. 1969;30(4):446-454. https://doi.org/10.3171/jns.1969.30.4.0446
  2. Aliabadi H, Miller J, Radnakrishnan S, Mehta AI, Thomas K, Selznick L, Fuchs H. Spontaneous intrauterine ping-pong fracture: Review and case illustration. Neuropediatrics. 2009;40(2):73-75
  3. Arifin MZ, Gill AS, Anwar AD, Djuwantono T, Faried A. Spontaneous depressed skull fracture during vaginal delivery: A report of two cases and literature review. //The Indian Journal of Neurotrauma. 2013;10(1):33-37.
  4. Basaldella L, Marton E, Bekelis K, Longatti P. Spontaneous Resolution of Atraumatic Intrauterine Ping-Pong Fractures in Newborns Delivered by Cesarean Section. //Journal of Child Neurology. 2011;26(11):1449-1451.
  5. Ben-Ari Y, Merlob P, Hirsch M, Reisner SH. Congenital depression of the neonatal skull. //European Journal of Obstetrics, Gynecology, and Reproductive Biology. 1986;22(4):249-255.
  6. Bhat BV, Kumar A, Oumachigui A. Bone injuries during delivery. //Indian Journal of Pediatrics. 1994;61(4):401-405.
  7. Bidhan S, Shaw SC, Saravagi G, Gupta R (2019) Congenital depression of neonatal skull. //Med J Armed Forces India 75(4):464–466
  8. Chan DYC, Chan DTM, Zhu CXL, Poon WS. Surgical technique for ‘ping pong’ fractures: Elevation of depressed skull fractures in neonates with no burr hole. //Surgical Practice. 2017;21(2):82-85.
  9. D. Preston, S. Jackson, S. Gandhi. 2015. Non-traumatic depressed skull fracture in a neonate or ’ping pong’ fracture. //Case Reports. 2015:feb18 1, bcr2014207077
  10. Dupuis O, Silveira R, Dupont C, Mottolese C, Kahn P, Dittmar A, Rudigoz RC. Comparison of “instrument-associated” and “spontaneous” obstetric depressed skull fractures in a cohort of 68 neonates. //American Journal of Obstetrics and Gynecology. 2005;192(1):165-170.
  11. Gezmu A, Mazhani L (2017) A case report of significant congenital depressed skull fracture after cesarean section delivery. //Aft J Med Health Sci 16(2):123–125
  12. Huang, Y., Zhuang, J., Chen, Y., and Li, W. (2016). Congenital Skull Depression in a Newborn Delivered by Cesarean Section due to Continued Occipitotransverse Position: Case Report and Short Communication. //Int J Neurol Neurother, 3(4).
  13. Hung KL, Liao HT, Huang JS. Rational management of simple depressed skull fractures in infants. //Journal of Neurosurgery. 2005;103(1 Suppl):69-72.
  14. Ilhan, O., Bor, M., and Yukkaldiran, P. (2018). Spontaneous resolution of a ‘Ping-Pong’ fracture at birth. //BMJ Case Repo, 2018.
  15. Nakahara T, Sakoda K, Uozumi T, Takeda T, Ogorochi T, Ueda K, Ueda M, Sasaki T. Intrauterine depressed skull fracture. A report of two cases. //Pediatric Neuroscience. 1989;15(3):121-124.
  16. Loeser JD, Kilburn HL, Jolley T. Management of depressed skull fracture in the newborn. //Journal of Neurosurgery. 1976;44(1):62-64.
  17. Mastrapa TL, Fernandez LA, Alvarez MD, Storrs BB, Flores-Urueta A. Depressed skull fracture in Ping Pong: elevation with Medeva extractor. //Child’s Nervous System. 2007;23(7):787-790.
  18. Morgan JA, Marcus PS. Prenatal diagnosis and management of intrauterine fracture. //Obstetrical Gynecological Survey. 2010;65(4):249-259.
  19. Nakahara T, Sakoda K, Uozumi T, Takeda T, Ogorochi T, Ueda K, Ueda M, Sasaki T. Intrauterine depressed skull fracture. A report of two cases. //Pediatric Neuroscience. 1989;15(3):121-124.
  20. Popov VE, Mai RB. Depressed skull fractures in newborns. Case report of ping-pong fracture and literature review. //Burdenko’s Journal of Neurosurgery = Zhurnal voprosy neirokhirurgii imeni N.N. Burdenko. 2022;86(1):96–102. (In Russ.).

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