What are criteria for early diagnosis of growing skull fracture?
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What are criteria for early diagnosis of growing skull fracture?
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@rituparna Early diagnosis of growing skull fracture can be made on the basis of 4 criteria :
Age <5 years with cephalhematoma
Bone diastasis 4 mm or more
Underlying brain contusion
Contrast MRI showing dural tear and herniation of the brain matter (dural tear with herniation of the brain matter is the main etiopathogenic factor for the development of growing skull fracture)
A fracture line crossing over a vascular groove, such as the middle meningeal artery, may form an epidural hematoma. Similarly, a fracture line that crosses over a suture may cause sutural diastasis.