Growing Skull Defect in an Infant with a Rare Combination of a Foramen Parietale Permagna and an Atretic Cephalocele
DOI:
https://doi.org/10.12974/2311-8687.2016.04.02.2Keywords:
leptomeningeal cyst, foramen parietale permagna, atretic encephalocele.Abstract
Here we present a case of a 2-month-old child with an atretic encephalocele and large persistent parietal foramina. The course was unusual in that the parietal foramina significantly increased in size over a relatively short time.
At the age of three months the child required surgery because of the increasing skull defect. During surgery the cause of the growing skull defect was revealed as a medial atretic encephalocele with enlarged parietal foramina.
Large parietal foramina are a rare clinical entity with a prevalence ranging from 1:15.000 to 1:25.000. The skull defect is usually identified on physical examination and confirmed radio graphically.
We assume that the mechanism underlying the growing bone defect is identical to that of a growing skull fracture. To our knowledge this is the only reported case of an infant with a growing skull defect requiring surgery due to an atretic encephalocele protruding through a growing parietal foramina.
References
Aoyagi M, Matsushima Y, Takei H, Okada K and Inaba Y. Parietal foramina complicated by meningocele. Childs Nerv Syst 1985; 1: 234-237. https://doi.org/10.1007/BF00270769 DOI: https://doi.org/10.1007/BF00270769
Arseni C and Ciurea AV. Clinicotherapeutic aspects in the growing skull fracture. A review of the literature. Childs Brain 1981; 8: 161-172. DOI: https://doi.org/10.1159/000119980
Bartels RH, Merx JL and van Overbeeke JJ. Falcine sinus and occipital encephalocele: a magnetic resonance venography study. J Neurosurg 1998; 89: 738-741. https://doi.org/10.3171/jns.1998.89.5.0738 DOI: https://doi.org/10.3171/jns.1998.89.5.0738
Fein JM and Brinker RA. Evolution and significance of giant parietal foramina. Report of five cases in one family. J Neurosurg 1972; 37: 487-492. https://doi.org/10.3171/jns.1972.37.4.0487 DOI: https://doi.org/10.3171/jns.1972.37.4.0487
Fink AM and Maixner W. Enlarged parietal foramina: MR imaging features in the fetus and neonate. Am J Neuroradiol 2006; 27: 1379-1381.
Golabi M, Carey J and Hall BD. Parietal foramina clavicular hypoplasia. An autosomal dominant syndrome. Am J Dis Child 1984; 138: 596-599. https://doi.org/10.1001/archpedi.1984.02140440080022 DOI: https://doi.org/10.1001/archpedi.1984.02140440080022
Goldsmith PG. The Pathology and Treatment of Chronic Catarrhal Deafness. Can Med Assoc J 1922; 12: 293-299. https://doi.org/10.1288/00005537-192209000-00010 DOI: https://doi.org/10.1288/00005537-192209000-00010
Goldstein F, Sakoda T, Kepes JJ, Kavidson K and Brackett CE. Enlarging skull fractures: an experimental study. J Neurosurg 1967; 27: 541-550. https://doi.org/10.3171/jns.1967.27.6.0541 DOI: https://doi.org/10.3171/jns.1967.27.6.0541
Goldstein FP, Rosenthal SA, Garancis JC, Larson SJ and Brackett CE. Jr Varieties of growing skull fractures in childhood. J Neurosurg 1970; 33: 25-28. https://doi.org/10.3171/jns.1970.33.1.0025 DOI: https://doi.org/10.3171/jns.1970.33.1.0025
Halbertsma T. Fenestrae Parietales Symmetricae. Arch Dis Child 1940; 15: 115-120. https://doi.org/10.1136/adc.15.82.115 DOI: https://doi.org/10.1136/adc.15.82.115
Halliday AL, Chapman PH and Heros RC. Leptomeningeal cyst resulting from adulthood trauma: case report. Neurosurgery 1990; 26: 150-153. https://doi.org/10.1227/00006123-199001000-00025 DOI: https://doi.org/10.1227/00006123-199001000-00025
Haworth CS and Pobereskin LH. Middle fossa arachnoid cyst eroding into the middle ear: case report. Neurosurgery 1990; 26: 154-155. https://doi.org/10.1227/00006123-199001000-00026 DOI: https://doi.org/10.1227/00006123-199001000-00026
Hollender L. Enlarged parietal foramina. Oral Surg Oral Med Oral Pathol 1967; 23: 447-453. https://doi.org/10.1016/0030-4220(67)90536-1 DOI: https://doi.org/10.1016/0030-4220(67)90536-1
Howship J. Practical observations in surgery and morbid anatomy. London Engans Longman 1816; pp 494.
James CC and Lassman LP. Spina bifida occulta. James CC, Lassman LP: Spinal Dysraphism, 1st edn. Butterworths, London 1972; 89-97.
Keener EB. An experimental study of reactions of the dura mater to wounding and loss of substance. J Neurosurg 1959; 16: 424-447. https://doi.org/10.3171/jns.1959.16.4.0424 DOI: https://doi.org/10.3171/jns.1959.16.4.0424
Kingsley D, Till K and Hoare R. Growing fractures of the skull. J Neurol Neurosurg Psychiatry 1978; 41: 312-318. https://doi.org/10.1136/jnnp.41.4.312 DOI: https://doi.org/10.1136/jnnp.41.4.312
Martinez-Lage JF, Sola J, Casas C, Poza M, Almagro MJ and Girona DG. Atretic cephalocele: the tip of the iceberg. J Neurosurg 1992; 77: 230-235. https://doi.org/10.3171/jns.1992.77.2.0230 DOI: https://doi.org/10.3171/jns.1992.77.2.0230
Muhonen MG, Piper JG and Menezes AH. Pathogenesis and treatment of growing skull fractures. Surg Neurol 1995; 43: 367-372. https://doi.org/10.1016/0090-3019(95)80066-P DOI: https://doi.org/10.1016/0090-3019(95)80066-P
Mücke R and Meyer-Glauner M. Duraspannung und Schädelwachstum. Acta Neurochir 1977; 37: 281-291. https://doi.org/10.1007/BF01402132 DOI: https://doi.org/10.1007/BF01402132
Otsubo Y, Sato H, Sato N and Ito H. Cephaloceles and abnormal venous drainage. Childs Nerv Syst 1999; 15: 329- 332. https://doi.org/10.1007/s003810050405 DOI: https://doi.org/10.1007/s003810050405
Pang D and Lin A. Symptomatic large parietal foramina. Neurosurgery 1982; 11: 33-37. https://doi.org/10.1227/00006123-198207010-00007 DOI: https://doi.org/10.1227/00006123-198207010-00007
Patterson RJ, Egelhoff JC, Crone KR and Ball WS Jr. Atretic parietal cephaloceles revisited: an enlarging clinical and imaging spectrum? Am J Neuroradiol 1998; 19: 791-795.
Preis S, Engelbrecht V and Lenard HG. Aplasia cutis congenita and enlarged parietal foramina (Catlin marks) in a family. Acta Paediatr 1995; 84: 701-702. https://doi.org/10.1111/j.1651-2227.1995.tb13735.x DOI: https://doi.org/10.1111/j.1651-2227.1995.tb13735.x
Ramamurthi B and Kalyanaraman S. Rationale for surgery in growing fractures of the skull. J Neurosurg 1970; 32: 427-430. https://doi.org/10.3171/jns.1970.32.4.0427 DOI: https://doi.org/10.3171/jns.1970.32.4.0427
Reddy AT, Hedlund GL and Percy AK. Enlarged parietal foramina: association with cerebral venous and cortical anomalies. Neurology 2000; 54: 1175-1178. https://doi.org/10.1212/WNL.54.5.1175 DOI: https://doi.org/10.1212/WNL.54.5.1175
Scarfo GB, Mariottini A, Tomaccini D and Palma L. Growing skull fractures: progressive evolution of brain damage and effectiveness of surgical treatment. Childs Nerv Syst 1989; 5: 163-167. https://doi.org/10.1007/BF00272120 DOI: https://doi.org/10.1007/BF00272120
Taveras JM and Ransohoff J. Leptomeningeal cysts of the brain following trauma with erosion of the skull; a study of seven cases treated by surgery. J Neurosurg 1989; 10: 233-241. https://doi.org/10.3171/jns.1953.10.3.0233 DOI: https://doi.org/10.3171/jns.1953.10.3.0233
Warkany J. Syndromes. Am J Dis Child 1971; 121: 365-370. https://doi.org/10.1001/archpedi.1971.02100160035001 DOI: https://doi.org/10.1001/archpedi.1971.02100160035001
Wilkie AOM and Mavrogiannis LA. Enlarged Parietal Foramina. Pagon RA, Adam MP, Bird TD, Dolan CR, Fong CT, Smith RJH, et al. (eds): GeneReviews(R). Seattle (WA) 1993.
Winston K, Beatty RM and Fischer EG. Consequences of dural defects acquired in infancy. J Neurosurg 1983; 59: 839-846. https://doi.org/10.3171/jns.1983.59.5.0839 DOI: https://doi.org/10.3171/jns.1983.59.5.0839
Yokota A, Kajiwara H, Kohchi M, Fuwa I and Wada H. Parietal cephalocele: clinical importance of its atretic form and associated malformations. J Neurosurg 1988; 69: 545-551. https://doi.org/10.3171/jns.1988.69.4.0545 DOI: https://doi.org/10.3171/jns.1988.69.4.0545
Young RW. The influence of cranial contents on postnatal growth of the skull in the rat. Am J Anat 1959; 105: 383-415. https://doi.org/10.1002/aja.1001050304 DOI: https://doi.org/10.1002/aja.1001050304
