Growing Skull Fracture
A growing skull fracture (GSF) also known as a craniocerebral erosion or leptomeningeal cyst due to the usual development of a cystic mass filled with cerebrospinal fluid is a rare complication of head injury usually associated with linear skull fractures of the parietal bone in children under 3. It has been reported in older children in atypical regions of the skull such as the basiooccipital and the base of the skull base and in association with other types of skull fractures. It is characterized by a diastatic enlargement of the fracture.
There are various factors associated with the development of a GSF with the primary causitive factor being a tear in the dura mater. The skull fracture enlarges due in part to the rapid physiologic growth of the brain which occurs in young children and brain cerebrospinal fluid (CSF) pulsations in the underlying leptomenigeal cystic mass.
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