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

Spontaneous depressed skull fracture during vaginal delivery: A report of two cases and literature review
Muhammad Zafrullah Arifin, Arwinder Singh Gill, Anita Deborah Anwar, Tono Djuwantono, Ahmad Faried
Universitas Padjadjaran, The indian journal of neurotrauma 10 ( 2013 ) 33-37 journal homepage: www.elsevier.com/locate/ijnt
Bahasa Inggris
Universitas Padjadjaran, The indian journal of neurotrauma 10 ( 2013 ) 33-37 journal homepage: www.elsevier.com/locate/ijnt
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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.

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