Spontan Deplase Ping-Pong Kırığı Ve Subaraknoid Kanama

Depressed skull fractures in newborns are seen in 1/10000 live births. These rare fractures are often referred to as ‘ping-pong’ since they reflect the skull being transformed from convex to concave, due to its malleability from not being ossified. It accompanies generally to instrumental vaginal delivery, whereas spontaneous intrauterine ping-pong fractures in newborns delivered by cesarean section is a distinctly rare condition. Intracranial lesions are likely to occur from instrumental delivery, whereas there existed no report of spontaneous ping-pong fractures with intracranial lesions. Here, we reported a neonate who was born to cesarean section and presented a depressed ping-pong fracture with subarachnoid hemorrhage. Clinicians should carefully perform physical examination of newborns for skull abnormalizes. Newborns with spontaneous ping-pong fracture should be followed with close neurologic examination. Cranial imaging should be performed regardless of presence of neurologic signs.