{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T20:57:51Z","timestamp":1788555471390,"version":"build-2803163510"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2010,2]]},"abstract":"<jats:p>The author describes 2 cases of children with growing skull fractures (GSFs). Surgical exploration of the widened fracture shortly after the head injury failed to reveal a dural tear because the neuroimaging studies (MR images, CT scans, and skull radiographs) had not been accurately interpreted, thereby allowing the development of a GSF at the site of the actual dural injury. In both cases, the dural and bony defect and the leptomeningeal cyst were successfully repaired.<\/jats:p>\n<jats:p>To prevent GSFs associated with progressive neurological deficit, seizure, ventricular porencephaly, and encephalomalacia, the author surgically explores wide skull fractures in young children with head injury whose MR images demonstrate brain herniation through the dura mater. The importance of a brief delay in surgical exploration is emphasized to allow cerebral edema to resolve and the patient's condition to become medically stabilized.<\/jats:p>","DOI":"10.3171\/2009.9.peds09180","type":"journal-article","created":{"date-parts":[[2010,2,1]],"date-time":"2010-02-01T15:04:12Z","timestamp":1265036652000},"page":"213-218","source":"Crossref","is-referenced-by-count":19,"title":["Prevention of growing skull fractures"],"prefix":"10.3171","volume":"5","author":[{"given":"Robert A.","family":"Sanford","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0050213","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/S0090-3019(97)00233-4","article-title":"Traumatic leptomeningeal cyst in an adult: a case report and review of the literature","volume":"50","author":"Britz","year":"1998"},{"key":"b2-0050213","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1007\/BF00262233","article-title":"Cranial burst fracture in infants: acute recognition and management","volume":"11","author":"Donahue","year":"1995"},{"key":"b3-0050213","series-title":"AJNR Am J Neuroradiol","first-page":"795","article-title":"Acute identification of cranial burst fracture: comparison between CT and MR imaging findings","volume":"21","author":"Ellis","year":"2000"},{"key":"b4-0050213","series-title":"Acta Neurochir (Wien)","first-page":"519","article-title":"Growing skull fractures: a clinical study of 41 patients","volume":"140","author":"Ersahin","year":"1998"},{"key":"b5-0050213","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/PL00011945","article-title":"Growing skull fractures (craniocerebral erosion)","volume":"23","author":"Ersahin","year":"2000"},{"key":"b6-0050213","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"541","DOI":"10.3171\/jns.1967.27.6.0541","article-title":"Enlarging skull fractures: an experimental study","volume":"27","author":"Goldstein","year":"1967"},{"key":"b7-0050213","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1007\/BF01411301","article-title":"Growing skull fractures: a clinical study of 41 patients","volume":"139","author":"Gupta","year":"1997"},{"key":"b8-0050213","series-title":"Pediatr Radiol","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1007\/BF01383396","article-title":"The value of MRI in the early diagnosis of growing skull fracture","volume":"26","author":"Husson","year":"1996"},{"key":"b9-0050213","series-title":"Indian Pediatr","first-page":"1194","article-title":"Growing skull fractures","volume":"40","author":"Iyer","year":"2003"},{"key":"b10-0050213","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1007\/BF00301756","article-title":"Enlarging skull fractures in children","volume":"11","author":"Johnson","year":"1995"},{"key":"b11-0050213","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1136\/jnnp.41.4.312","article-title":"Growing fractures of the skull","volume":"41","author":"Kingsley","year":"1978"},{"key":"b12-0050213","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1097\/00006123-199807000-00045","article-title":"Untreated growing cranial fractures detected in late stage","volume":"43","author":"Kutlay","year":"1998"},{"key":"b13-0050213","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/0090-3019(95)80066-P","article-title":"Pathogenesis and treatment of growing skull fractures","volume":"43","author":"Muhonen","year":"1995"},{"key":"b14-0050213","series-title":"Br J Neurosurg","doi-asserted-by":"publisher","first-page":"667","DOI":"10.3109\/02688699409101180","article-title":"Growing skull fractures: classification and management","volume":"8","author":"Naim-Ur-Rahman","year":"1994"},{"key":"b15-0050213","series-title":"Am J Emerg Med","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/0735-6757(90)90291-7","article-title":"Leptomeningeal cyst: nonenhanced and enhanced computed tomography findings","volume":"8","author":"Nalls","year":"1990"},{"key":"b16-0050213","series-title":"Neurol Med Chir (Tokyo)","doi-asserted-by":"publisher","first-page":"807","DOI":"10.2176\/nmc.34.807","article-title":"Emerging symptoms of growing skull fracture after secondary trauma in an adult\u2014case report","volume":"34","author":"Onizuka","year":"1994"},{"key":"b17-0050213","series-title":"J Neurosurg Sci","first-page":"129","article-title":"Growing skull fractures of childhood. 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