Croatian Society of Gynaecology and Obstetrics, and Croatian Society of Perinatal Medicine of Croatian Medical Association
Abstract
Prikazan je slučaj impresivne frakture parijetalne kosti lubanje novorođenčeta tijekom spontanog poroda. ¬Rodilji je to bio treći porod. U prethodnim porodima rodila djecu koja su imala porodnu težinu po 3200 grama. Sadašnji porod bio je terminski, u stavu glavicom i protekao je bez teškoća. Dijete je pri porodu bilo težine 3450 grama i dužine 52 centimetara. Apgar zbroj bio je 9 nakon 1. minute i 10 nakon 5. minute. Tijekom boravka u bolnici dijete je bilo urednog neurološkog statusa. Nakon smanjivanja porodne otekline glave vidi se impresija lijeve parijetalne kosti. Na kraniogramu, u AP projekciji, nije se na mjestu impresije vidjela fraktura. Po premještaju novorođenčeta u Kliniku za dječje bolesti, daljnjom radiološkom obradom (RTG i CT) ustanovljena je fraktura u području impresije te je uslijedila kraniotomija s elevacijom impresije. Dijete je otpušteno iz Klinike dobrog općeg stanja i urednog neurološkog statusa.The case of depressed skull fracture in newborn during spontaneous delivery is presented. It was for the mother the third delivery. In previous two deliveries the children have had the birth weight of 3200 grams. Actual delivery was at term, cephalic, without complications. Newborn’s weight was 3450 grams, length 52 cm. The Apgar score 9 after 1 minute and 10 after 5 minutes. During his staying in hospital the child had normal neurological status. After reduction of the head swelling (caput succedaneum), the left parietal bone depression was evident. At craniogram in AP projection the fracture at place of depression was not visible. After refering the child to the Clinic for child diseases, further radiology tests (RTG and CT) prooved the fracture at place of depression, after which followed craniotomy with depression elevation. The child was released from the Clinic at good shape and neurological status
