Spontaneous resolution of a ping-pong' fracture at birth


Ilhan O., Bor M., Yukkaldiran P.

BMJ Case Reports, cilt.2018, 2018 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 2018
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1136/bcr-2018-226264
  • Dergi Adı: BMJ Case Reports
  • Derginin Tarandığı İndeksler: Scopus
  • Anahtar Kelimeler: anaesthesia, neonatal health, neuroimaging, neurosurgery, trauma CNS /PNS
  • İstanbul Üniversitesi Adresli: Hayır

Özet

Ping-pong' fractures are depressed skull fractures in newborn infants that occur as inward buckling of the calvarial bones, forming a cup shape. These fractures are often associated with maintenance of bone continuity. These fractures may occur spontaneously during the intrauterine period or secondary to birth trauma. Currently, there is no standard protocol for the management of depressed skull fractures. Neurosurgical or non-surgical approaches may be administered depends on the severity of the fracture. Most untreated ping-pong fractures resolve spontaneously within 6 months. Therefore, it is recommended to reserve surgical elevation or non-surgical techniques for infants not demonstrating spontaneous resolution during this period. In addition, neurosurgical interventions are usually considered for cases with intracranial pathology or neurological deficits or for infants who do not respond to conservative treatment. Herein, we report a case of a newborn infant with a spontaneous intrauterine ping-pong fracture, which spontaneously resolved, without surgical or non-surgical intervention.