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Spontaneous intrauterine "ping-pong" fracture: review and case illustration.

Publication ,  Journal Article
Aliabadi, H; Miller, J; Radnakrishnan, S; Mehta, AI; Thomas, K; Selznick, L; Goldberg, R; Grant, G; Fuchs, H
Published in: Neuropediatrics
April 2009

We report a case of a closed outer-table parietal "ping-pong" skull fracture occurring in a 4 190-gram female infant born at 39 weeks and 5 days gestation after an uneventful Cesarean section (Apgar scores of 9 and 9 at one and five minutes). There was no maternal history of abdominal trauma during pregnancy and there were no complications or difficulties with Cesarean section delivery. Neurological examination was normal. Computed tomography with three-dimensional reconstruction images showed a 4 x 5 cm depression in the right parietal bone with a medial lucency consistent with a fracture of the superior margin of the skull and leftward deviation of the sagittal suture and sinus. Spontaneous resolution did not occur by one month of age and the skull fracture was repaired with excellent cosmetic results. Rarely has a case of spontaneous intrauterine skull fracture been reported in an atraumatic Cesarean delivery. We believe this fracture resulted from a chronic in utero process without associated trauma as evidenced by deviation of the sagittal suture and sinus.

Duke Scholars

Published In

Neuropediatrics

DOI

EISSN

1439-1899

Publication Date

April 2009

Volume

40

Issue

2

Start / End Page

73 / 75

Location

Germany

Related Subject Headings

  • Tomography, X-Ray Computed
  • Skull Fractures
  • Pregnancy
  • Plastic Surgery Procedures
  • Neurology & Neurosurgery
  • Infant
  • Imaging, Three-Dimensional
  • Humans
  • Fractures, Spontaneous
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Aliabadi, H., Miller, J., Radnakrishnan, S., Mehta, A. I., Thomas, K., Selznick, L., … Fuchs, H. (2009). Spontaneous intrauterine "ping-pong" fracture: review and case illustration. Neuropediatrics, 40(2), 73–75. https://doi.org/10.1055/s-0029-1234108
Aliabadi, H., J. Miller, S. Radnakrishnan, A. I. Mehta, K. Thomas, L. Selznick, R. Goldberg, G. Grant, and H. Fuchs. “Spontaneous intrauterine "ping-pong" fracture: review and case illustration.Neuropediatrics 40, no. 2 (April 2009): 73–75. https://doi.org/10.1055/s-0029-1234108.
Aliabadi H, Miller J, Radnakrishnan S, Mehta AI, Thomas K, Selznick L, et al. Spontaneous intrauterine "ping-pong" fracture: review and case illustration. Neuropediatrics. 2009 Apr;40(2):73–5.
Aliabadi, H., et al. “Spontaneous intrauterine "ping-pong" fracture: review and case illustration.Neuropediatrics, vol. 40, no. 2, Apr. 2009, pp. 73–75. Pubmed, doi:10.1055/s-0029-1234108.
Aliabadi H, Miller J, Radnakrishnan S, Mehta AI, Thomas K, Selznick L, Goldberg R, Grant G, Fuchs H. Spontaneous intrauterine "ping-pong" fracture: review and case illustration. Neuropediatrics. 2009 Apr;40(2):73–75.
Journal cover image

Published In

Neuropediatrics

DOI

EISSN

1439-1899

Publication Date

April 2009

Volume

40

Issue

2

Start / End Page

73 / 75

Location

Germany

Related Subject Headings

  • Tomography, X-Ray Computed
  • Skull Fractures
  • Pregnancy
  • Plastic Surgery Procedures
  • Neurology & Neurosurgery
  • Infant
  • Imaging, Three-Dimensional
  • Humans
  • Fractures, Spontaneous
  • Female