Neonatal cranial bone depression

Authors

  • Joana Tenente Department of Pediatrics, Unidade I, Centro Hospitalar Vila Nova de Gaia/Espinho
  • Ivana Cardoso Department of Pediatrics, Unidade I, Centro Hospitalar Vila Nova de Gaia/Espinho
  • António Vinhas da Silva Department of Pediatrics, Unidade I, Centro Hospitalar Vila Nova de Gaia/Espinho
  • Jacinto Torres Centro Hospitalar Vila Nova de Gaia, Espinho

Keywords:

bone depression, newborn, ping-pong fracture, spontaneous fracture

Abstract

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.

Author Biography

Jacinto Torres, Centro Hospitalar Vila Nova de Gaia, Espinho

Neonatalogy Unit, Pediatrics Department

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.

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Published

2021-09-30

How to Cite

Tenente, J., Cardoso, I., Vinhas da Silva, A., & Torres, J. (2021). Neonatal cranial bone depression. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 30(3), 189–191. Retrieved from https://revistas.rcaap.pt/nascercrescer/article/view/23232

Issue

Section

Imaging Cases

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