Growing skull fracture of the orbital roof - Case report

Growing skull fractures are rare complications of head trauma and very rare ly arise in the skull base. The clinical and radiological finding and treat ment of a growing fracture of the orbital roof in a 5-year-old boy are repo rted, and the relevant literature is reviewed. The clinical picture was eye lid swelling. Computed tomography (CT) scan was excellent for demonstrating the bony defect in the orbital roof. Frontobasal brain injury seems to pla y an important role in the pathogenesis of the fracture growth. Growing sku ll fracture of the orbital roof should be considered in the differential di agnosis in cases of persistent ocular symptoms. Craniotomy with excision of gliotic brain and granulation tissue, dural repair and cranioplasty is the treatment of choice.