Abstract

TENENTE, Joana; CARDOSO, Ivana; SILVA, António Vinhas da  and  TORRES, Jacinto. Neonatal cranial bone depression. Nascer e Crescer [online]. 2021, vol.30, n.3, pp.189-191.  Epub Sep 30, 2021. ISSN 0872-0754.  https://doi.org/10.25753/birthgrowthmj.v30.i3.23232.

A female preterm was admitted to the Neonatal Intensive Care Unit for late prematurity and very low weight. The physical examination was normal. On the third day of life, a hard left, non-painful parietal depression was noted, with no evidence of neurological impairment. Head computed tomography (CT) showed focal sinking of the left parietal bone posteriorly to the coronal suture. A watchful attitude was adopted and the patient was discharged on day 28. The diagnosis was a “ping-pong fracture”, which can occur iatrogenically or spontaneously in uterus. This diagnosis can be confirmed by x-ray or CT scan and the prognosis is usually good, with complete deformity regression. At two months, the parietal fracture was barely perceptible, and neurological examination was normal.

Keywords : bone depression; newborn; ping-pong fracture; spontaneous fracture.

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