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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/2468

Title: Growing fracture of the orbital roof
Authors: Jamjoom, Zain Alabedeen B.
Keywords: Head trauma
Growing fracture
Cerebrospinal fluid
Issue Date: 1997
Publisher: Elsevier Science Inc.
Citation: Surg Neurol: 48; 184-188
Abstract: BACKGROUND Growing fractures rarely arise in the skull base, and their pathogenesis and treatment are still debated. METHODS The clinical and radiologic findings of a growing fracture involving the orbital roof in a 5-year-old boy are presented and the relevant literature is reviewed. RESULTS The clinical picture of growing fracture of the orbital roof is dominated by ocular symptoms such as diplopia, eyelid swelling, and displaced eye globe. Computed tomography scan is excellent for demonstrating the bony defect in the orbital roof while magnetic resonance imaging is more sensitive in showing the intraorbital extension of the leptomeningeal cyst. Frontobasal brain injury seems to play an important role in the pathogenesis of the fracture growth. Craniotomy with direct repair of the dural and bone defects is the treatment of choice. CONCLUSION Growing fracture of the orbital roof may complicate minor head injury and should be considered in the differentiated diagnosis in cases of persistent ocular symptoms.
Description: Department of Surgery, College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia Tel.: +966-1-4671678 Email: zjamjoom@ksu.edu.sa
URI: http://hdl.handle.net/123456789/2468
ISSN: 0090-3019
Appears in Collections:College of Medicine

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