Neonatology Book


Skull Fracture from Birth Trauma

Aka: Skull Fracture from Birth Trauma
  1. Signs
    1. Linear Fracture with soft tissue swelling
      1. May be asymptomatic
    2. Depressed Fracture
      1. Visible, palpable indentation
    3. Fracture may be hidden beneath Cephalhematoma
  2. Associated Conditions
    1. Cephalhematoma
    2. Intracranial Hemorrhage
    3. Brain Contusion
    4. Seizure
  3. Complications
    1. Leptomeningeal Cyst
  4. Radiology
    1. Skull XRay
      1. Diagnose Skull Fracture
      2. Rule-out Leptomeningeal Cyst
    2. CT Head
      1. Intracranial Hemorrhage
      2. Intracranial edema
  5. Management
    1. Depressed Skull Fracture: Neurosurgery Consultation
    2. Non-displaced Skull Fracture: Re-XRay in 4-6 weeks
      1. Ensure Fracture line closure
      2. Rule-out Leptomeningeal Cyst formation

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