Neonatal cranial bone depression

Tenente, Joana; Cardoso, Ivana; Vinhas da Silva, António; Torres, Jacinto

http://hdl.handle.net/10400.16/2520

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Authors

Tenente, Joana

Cardoso, Ivana

Vinhas da Silva, António

Torres, Jacinto

Abstract(s)

A female preterm was admitted to the Neonatal Intensive Care Unit for late prematurity and very low weight. The physical examination was normal. On the third day of life, a hard left, non-painful parietal depression was noted, with no evidence of neurological impairment. Head computed tomography (CT) showed focal sinking of the left parietal bone posteriorly to the coronal suture. A watchful attitude was adopted and the patient was discharged on day 28. The diagnosis was a “ping-pong fracture”, which can occur iatrogenically or spontaneously in uterus. This diagnosis can be confirmed by x-ray or CT scan and the prognosis is usually good, with complete deformity regression. At two months, the parietal fracture was barely perceptible, and neurological examination was normal.

Keywords

bone depression newborn ping-pong fracture spontaneous fracture

URI

http://hdl.handle.net/10400.16/2520

Citation

Tenente J, Cardoso I, Vinhas-da-Silva A, Torres J, Nascer e Crescer - Birth and Growth Medical Journal 2020;30(3): 189-191. doi:10.25753/BirthGrowthMJ.v30.i3.23232