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Popov V.E.

Vladimirsky Moscow Regional Research Clinical Institute

Mai R.B.

Vladimirsky Moscow Regional Research Clinical Institute;
Pirogov Russian National Research Medical University

Depressed skull fractures in newborns. Case report of ping-pong fracture and literature review

Authors:

Popov V.E., Mai R.B.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(1): 96‑102

DOI: 10.17116/neiro20228601196

Views: 11733

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To cite this article:

Popov VE, Mai RB. Depressed skull fractures in newborns. Case report of ping-pong fracture and literature review. Burdenko's Journal of Neurosurgery. 2022;86(1):96‑102. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20228601196

 
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Depressed skull fractures (ping-pong) in the fetus and newborn are associated with birth canal pathology, maternal trauma and birth trauma following instrumental delivery. The authors report a newborn with a depressed skull fracture (ping-pong) who underwent minimally invasive neurosurgical lifting of bone fragment through a burr hole. Strategy and methods of treatment of similar depressed skull fractures were comprehensively discussed. Moreover, the authors proposed a brief algorithm for the use of vacuum systems and various surgical techniques, including follow-up depending on type, cause, size of the fracture and concomitant intracranial lesions.

Keywords:

depressed ping-pong skull fracture
intrauterine depressed fracture
craniotomy
cranioplasty
vacuum system

Authors:

Popov V.E.

Vladimirsky Moscow Regional Research Clinical Institute

Mai R.B.

Vladimirsky Moscow Regional Research Clinical Institute;
Pirogov Russian National Research Medical University

Received:

25.01.2021

Accepted:

29.11.2021

List of references:

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  2. Axton JH, levy LF. Congenital moulding depressions of the skull. British Medical Journal. 1965;5451(1):1644-1647. https://doi.org/10.1136/bmj.1.5451.1644
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  12. Ross G. Spontaneous elevation of a depressed skull fracture in an infant. Case report. Journal of Neurosurgery. 1975;42(6):726-727.  https://doi.org/10.3171/jns.1975.42.6.0726
  13. Loeser JD, Kilburn HL, Jolley T. Management of depressed skull fracture in the newborn. Journal of Neurosurgery. 1976;44(1):62-64.  https://doi.org/10.3171/jns.1976.44.1.0062
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  20. Nakahara T, Sakoda K, Uozumi T, Takeda T, Ogorochi T, Ueda K, Ueda M, Sasaki T. Intrauterine depressed skull fracture. A report of two cases. Pediatric Neuroscience. 1989;15(3):121-124.  https://doi.org/10.1159/000120456
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