“Ping-pong” fractures (PPF) are depressed skull fractures typical of newborns. PPF usually result from head injury and, rarely, may cause severe long-term neurological sequelae. The management of PPF is still controversial. The goal of this paper is to present a case of “spontaneous” ping-pong fracture and to review the pertinent literature of the last 20 years. We report on a newborn who presented with a “spontaneous” parietal depressed skull fracture at birth. Preoperative computed tomography (CT) scan confirmed the PPF and excluded brain injuries. Neurosurgical intervention was performed on day 3 with immediate lifting of the fracture; the postoperative course was uneventful. During the last 20 years, 22 cases of “spontaneous ping-pong” fractures in newborn have been reported, with different clinical pictures and management but, generally, with a good outcome. “Ping-pong” fractures can occur in uneventful pregnancies and after uncomplicated vaginal or cesarean deliveries. CT scan, with low-dose protocol for infants, is the gold standard examination to evaluate the fracture and any associated brain lesions. Treatment is selected according to fracture characteristics.

Fantacci, C., Massimi, L., Capozzi, D., Romano, V., Ferrara, P., Chiaretti, A., “Spontaneous” ping-pong fracture in newborns: Case report and review of the literature, <<SIGNA VITAE>>, 2015; (10 (1)): 103-109 [http://hdl.handle.net/10807/91400]

“Spontaneous” ping-pong fracture in newborns: Case report and review of the literature

Fantacci, Claudia;Massimi, Luca;Romano, Valerio;Ferrara, Pietro;Chiaretti, Antonio
2015

Abstract

“Ping-pong” fractures (PPF) are depressed skull fractures typical of newborns. PPF usually result from head injury and, rarely, may cause severe long-term neurological sequelae. The management of PPF is still controversial. The goal of this paper is to present a case of “spontaneous” ping-pong fracture and to review the pertinent literature of the last 20 years. We report on a newborn who presented with a “spontaneous” parietal depressed skull fracture at birth. Preoperative computed tomography (CT) scan confirmed the PPF and excluded brain injuries. Neurosurgical intervention was performed on day 3 with immediate lifting of the fracture; the postoperative course was uneventful. During the last 20 years, 22 cases of “spontaneous ping-pong” fractures in newborn have been reported, with different clinical pictures and management but, generally, with a good outcome. “Ping-pong” fractures can occur in uneventful pregnancies and after uncomplicated vaginal or cesarean deliveries. CT scan, with low-dose protocol for infants, is the gold standard examination to evaluate the fracture and any associated brain lesions. Treatment is selected according to fracture characteristics.
Inglese
Fantacci, C., Massimi, L., Capozzi, D., Romano, V., Ferrara, P., Chiaretti, A., “Spontaneous” ping-pong fracture in newborns: Case report and review of the literature, <<SIGNA VITAE>>, 2015; (10 (1)): 103-109 [http://hdl.handle.net/10807/91400]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/91400
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