Abstract
Congenital Skull Depression in a Newborn Delivered by Cesarean Section due to Continued Occipitotransverse Position: Case Report and Short Communication
Highlights
Skull depression in a newborn who delivered by cesarean section is a distinctly rare condition
We argued that the skull depression in this case resulted from a chronic pressure on the fetal skull in utero, which was due to the L5 vertebra
Treatment options depend on the severity of the skull depression and underlying brain injury identified by clinical examination or with imaging
Summary
Skull depressions in newborns are often referred to as ‘ping pong fracture’ because the skull is being transformed from convex to concave, due to its malleability. There are different opinions on whether surgical intervention is the most appropriate method to treat congenital skull depression [7] Those who supported compulsory surgical elevation, expressed concern that pressure from the depression might cause cerebral injury, a decrease in cerebral blood flow, and secondary epilepsy. Several studies [12,13,14] had shown that there was no difference between surgically treated and non-surgically treated for skull depression of pediatric patients who without symptoms of intracranial hypertension and radiographic evidence of intracranial lesion in terms of future neurological damage and the occurrence of seizures. A copy of the written consent is available for review by the Editor of this journal
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