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Indian Journal of Neurotrauma 2013; 10(01): 33-37
DOI: 10.1016/j.ijnt.2012.12.001
Review Article
Thieme Medical and Scientific Publishers Private Ltd.

Spontaneous depressed skull fracture during vaginal delivery: A report of two cases and literature review

Muhammad Zafrullah Arifin
a   Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin Hospital, Jl. Pasteur 38, Bandung 40161, Indonesia
,
Arwinder Singh Gill
a   Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin Hospital, Jl. Pasteur 38, Bandung 40161, Indonesia
,
Anita Deborah Anwar
b   Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin Hospital, Bandung, Indonesia
,
Tono Djuwantono
b   Department of Obstetric and Gynecology, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin Hospital, Bandung, Indonesia
,
Ahmad Faried
a   Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran – Dr. Hasan Sadikin Hospital, Jl. Pasteur 38, Bandung 40161, Indonesia
› Author Affiliations
Subject Editor:
Further Information

Publication History

15 October 2012

01 December 2012

Publication Date:
06 April 2017 (online)

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Abstract

Objective

Spontaneous (without instrumentation) depressed skull fracture cases are rare in newborns and, in most cases, are caused by trauma during delivery. The diagnosis of a skull fracture can sometimes be difficult and the correct management of these fractures in newborns is still uncertain.

Case presentation

Two cases of spontaneous (without instrumentation) depressed skull fracture in newborns are reported and were related to birth trauma. Each cases were managed differently according to its clinical presentation.

Conclusion

Spontaneous depressed skull fracture of the newborn presents as a challenge in neurosurgical management. Although widely accepted that conservative management is a treatment of choice, but few cases with intractable seizures are also indication for surgical intervention. Our case series is a good educational lesson that can also be used by pediatrician and obstetrician for better management and handling of birth head trauma.

Keywords

Spontaneous depressed skull fracture - Birth head trauma - Seizure
 

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