AN UNUSUAL VARIANT OF A GROWING SKULL FRACTURE IN AN ADOLESCENT

A great majority of growing skull fractures occur in infancy and early childhood. Since the growth of brain is necessary as a driving force for these lesions to occur, almost all reported cases have been before the first 3 years of life. Although a number of uncommon locations, s uch as basiooccipital and skull base areas, have been reported, they a re commonly located on calvaria. The authors report a growing skull fr acture on the orbital roof in a 16-year-old female admitted to hospita l with complaints of headache and seizures. She had had an orbital tra uma 8 years before. CT scan revealed a hypodense lesion in the right f rontal lobe and a diastatic fracture line on the right orbital roof. A right craniotomy was performed. Excision of arachnoid loculations and duraplasty were carried out. This is an unusual condition with respec t to the location of the lesion, as well as the age of the patient.