A Case of Growing Skull Fracture with Appearance of the Sinking Skin Flap Syndrome

ABS TRACT A growing skull fracture is a late complication of a traumatic linear skull fracture. Un treated growing skull fractures can be associated with headache and progressive neurological deficits. In this case report, an unusual growing skull fracture mimicking sinking skin flap syn drome is presented. An 11-year-old girl, who had had a linear skull fracture 6 years previously, presented with headache, progressive left hemiparesis and right parietal scalp swelling on supine position. The scalp overlying the bone defect was sinking on upright position like the sinking skin flap syndrome. The growing skull fracture, revealed on the plain X-ray and computed tomography, was treated by duraplasty and cranioplasty with methylmetacrilate. The symptom of headache re solved and her walk improved after the treatment.