• Childs Nerv Syst · Feb 2004

    Case Reports

    Growing burr hole: enlarging pseudomeningocele at the site of a craniostomy.

    • David H Harter, Ronald Swanger, and Michael Tenner.
    • Department of Neurosurgery, New York Medical College, Valhalla and New York, NY 10595, USA. david_harter@nymc.edu
    • Childs Nerv Syst. 2004 Feb 1;20(2):127-30.

    BackgroundGrowing skull fractures and other enlarging skull defects are rare postoperative occurrences. We report here on a 10-month-old girl who presented with an enlarging burr hole and pseudomeningocele after an endoscopic third ventriculocisternostomy.MethodsEvaluation of an enlarging subcutaneous mass at the site of the burr hole included computed tomography scans and magnetic resonance imaging, which revealed a pseudomeningocele. The patient underwent repair of the lesion, including dural closure and cranioplasty.ConclusionsGrowing skull fractures or other enlarging bone defects may occur after burr hole placement, particularly in infants who require larger access sites for endoscopy.

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