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.

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Author Biography

Jacinto Torres, Centro Hospitalar Vila Nova de Gaia, Espinho

Neonatalogy Unit, Pediatrics Department

References

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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

1.
Tenente J, Cardoso I, Vinhas da Silva A, Torres J. Neonatal cranial bone depression. REVNEC [Internet]. 2021Sep.30 [cited 2024Mar.28];30(3):189-91. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/23232

Issue

Section

Imaging Cases

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