Growing Skull Fracture: A Clinical Study of 15 Children

Fifteen cases of growing skull fractures (GSF) were surgically treated in our department during a period of 4 years. GSF is an entity observed mainly during infancy. The main feature for deciding surgical intervention was enlargement of the skull defect with development of a leptomeningeal cyst revealed by CT or MRI. Surgery should include: Enlarging of craniectomy to find normal borders of dura, adhesiolysis and resection of cerebro-periosteal scar, tight closing of dura and cranioplasty. No post operative seizures or neurological deterioration were seen.