{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:30:04Z","timestamp":1787023804631,"version":"build-2736575974"},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Skull fractures are rare in newborns and normally caused by maternal abdominal trauma or complicated deliveries. However, in rare\u00a0cases, these fractures are found in neonates born after an uneventful pregnancy and delivery. We report a case of a primigravida who\u00a0underwent cesarean delivery due to failure of descent and malpositioning of the fetal head. After birth, a right temporoparietal fracture\u00a0and congenital muscular torticollis were diagnosed. The newborn\u2019s blood tests showed hypocalcemia and relative hypoparathyroidism.\u00a0Both mother and newborn presented low vitamin D levels. Serial imaging control showed gradual resolution of the lesions, with the\u00a0newborn being discharged at the 10th day of life with vitamin D supplementation. This is an interesting case because the combination\u00a0of three conditions - maternal and fetal hypovitaminosis D, congenital torticollis and malposition of the cephalic pole during labor \u2013 may\u00a0have synergistically contributed to a spontaneous intrauterine skull fracture.<\/jats:p>","DOI":"10.20344\/amp.11565","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T04:52:02Z","timestamp":1588567922000},"page":"344-346","source":"Crossref","is-referenced-by-count":3,"title":["A Rare Case of Spontaneous Intrauterine Skull Fracture"],"prefix":"10.20344","volume":"33","author":[{"given":"Mariana","family":"D\u00f3ria","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina","family":"Viveiros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia Rodrigues e","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1tima","family":"Soares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8464","published-online":{"date-parts":[[2020,5,4]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/11565\/5941","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/11565\/5941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,24]],"date-time":"2022-10-24T15:55:09Z","timestamp":1666626909000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/11565"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,4]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,5,4]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.11565","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,5,4]]}}}