Neonatal cranial bone depression
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v30.i3.23232Keywords:
bone depression, newborn, ping-pong fracture, spontaneous fractureAbstract
A female preterm was admitted to the Neonatal Intensive Care Unit for late prematurity and very low weight. The physical examination was normal. On the third day of life, a hard left, non-painful parietal depression was noted, with no evidence of neurological impairment. Head computed tomography (CT) showed focal sinking of the left parietal bone posteriorly to the coronal suture. A watchful attitude was adopted and the patient was discharged on day 28. The diagnosis was a “ping-pong fracture”, which can occur iatrogenically or spontaneously in uterus. This diagnosis can be confirmed by x-ray or CT scan and the prognosis is usually good, with complete deformity regression. At two months, the parietal fracture was barely perceptible, and neurological examination was normal.
Downloads
References
Ilhan O, Bor M, Yukkaldiran P. Spontaneous resolution of a ping-pong’ fracture at birth. BMJ Case Rep. 2018;2018:8-10. doi:10.1136/bcr-2018-226264.
Sorar M, Fesli R, Gürer B, Kertmen H, Sekerci Z. Spontaneous elevation of a ping-pong fracture: Case report and review of the literature. Pediatr Neurosurg. 2013;48(5):324-326. doi:10.1159/000351412.
Ballestero MF, De Oliveira RS. Closed Depressed Skull Fracture in Childhood Reduced with Suction Cup Vacuum Method: Case Report and a Systematic Literature Review. Cureus. 2019;11(7). doi:10.7759/cureus.5205.
Silva JB, João A, Miranda N. Fratura em Pingue-Pongue no Recém-Nascido : Um Diagnóstico Raro Ping-Pong Fracture in Newborn : A Rare Diagnosis. 2019;32:20344.
Loire M, Barat M, Mangyanda Kinkembo L, Lenhardt F, M’buila C. Spontaneous ping-pong parietal fracture in a newborn. Arch Dis Child Fetal Neonatal Ed. 2017;102(2):F153-F161. doi:10.1136/archdischild-2015-310313.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Joana Tenente, Ivana Cardoso, António Vinhas da Silva, Jacinto Torres
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in the Birth and Growth Medical Journal are Open Access and meet the requirements of funding agencies and academic institutions. Third-party use of published content is permitted under the terms of the Creative Commons Attribution-NonCommercial (CC BY-NC) license. It is the responsibility of authors to obtain permission for reproducing figures, tables, or other materials from previously published works.
Authors must submit a Conflict of Interest statement and an Authorship Form together with their manuscript. A confirmation email will be sent to the corresponding author upon receipt of the submission. Authors are also permitted to deposit their articles in institutional or personal repositories, provided that the original publication in the Birth and Growth Medical Journal is clearly indicated and the terms of the Creative Commons license are respected.
