Abstract

Growing skull fracture remains a rare but clinically significant complication of traumatic skull fractures in children less than 3 years of age. Dog attacks on children commonly cause head and neck injuries. We report the first case of growing skull fracture caused by a Rottweiler bite in a 21 days old neonate. Early diagnosis and surgical repair resulted in excellent outcome.

Highlights

  • Growing skull fractures (GSF) are rare complications occurring in 0.05-1.6% of traumatic skull fractures in children, most commonly in those less than 3 years old [1]

  • The pathological requisites, as described by Lende and Erickson, include; skull fracture in infancy/early childhood, dural tear with intact arachnoid at the time of fracture, underlying parenchymal injury and cranial defect resulting from enlargement of the fracture gap because of an underlying expanding force [3]

  • Kumar et al [5] recently described the neurological sequelae of dog bites to the head and neck region in 124 children

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Summary

Introduction

Growing skull fractures (GSF) are rare complications occurring in 0.05-1.6% of traumatic skull fractures in children, most commonly in those less than 3 years old [1]. They are most common in the parietal region of the head [2]. Dogs are the most common domestic animals known to inflict head and neck injuries in children. Kumar et al [5] recently described the neurological sequelae of dog bites to the head and neck region in 124 children. To the best of our knowledge, a growing skull fracture resulting from a dog bite to the head has not been described. The treatment of choice for growing skull fracture remains surgery

Methods
Conclusion

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