Journal List > J Korean Radiol Soc > v.50(6) > 1003957

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Chang, Yoon, Shin, Cho, and Chung: Characteristic MR Findings of Growing Skull Fracture in Children
Original Article

Journal of the Korean Radiological Society 2004; 50(6): 441-445.

Published online: 30 June 2004

DOI: https://doi.org/10.3348/jkrs.2004.50.6.441

Characteristic MR Findings of Growing Skull Fracture in Children

Yun Woo Chang, Hye Kyung Yoon, Hyung Jin Shin, Jae Min Cho, Hye Won Chung1

Department of Radiology, Soonchunhyang University Hospital, Korea.

Department of Radiology, Samsung Medical Center, Sungkyunkwan Uni-versity School of Medicine, Korea.

Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.

Corresponding author: hkyoon@smc.samsung.co.kr

Copyright © 2004 by The Korean Society of Radiology

Abstract

Purpose

Leptomeningeal cyst or growing skull fracture can occur in young infants or children following head trauma. We present MR imaging findings in five children with growing skull fracture.

Materials and Methods

We reviewed the MR images of five children (M: F=2:3) with growing skull fracture. The mean age was 7.5 years. The time interval between the occurrence of head trauma and the presentation of growing skull fracture varied from three months to 12 years. We reviewed the precontrast CT scans and/or the plain skull radiographs in those patients for whom these studies were available.

Results

The most common location of the growing skull fracture was the parietal bone (n=3). On the MR images, there were bone defects with posttraumatic cystic encephalomalacia or porencephalic cysts. Marginal bony thickening and diploic space widening were noted in four patients. MR imaging was excellent for visualizing the parenchymal changes and pericranial lesions.

Conclusion

In children with growing skull fracture, MR imaging can clearly depict trauma-related parenchymal changes, pericerebral lesions as well as bony edge thickening with remodeling.

Keywords: Skull, fracture, Magnetic resonance (MR), Children, head trauma

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