A Rare Case of Spontaneous Intrauterine Skull Fracture

Authors

  • Mariana Dória * Co-primeiro autor Serviço de Ginecologia/Obstetrícia. Unidade Local de Saúde de Matosinhos. Hospital Pedro Hispano. Matosinhos.
  • Catarina Viveiros * Co-primeiro autor Serviço de Pediatria. Unidade Local de Saúde de Matosinhos. Hospital Pedro Hispano. Matosinhos.
  • Lia Rodrigues e Rodrigues Serviço de Neonatologia. Unidade Local de Saúde de Matosinhos. Hospital Pedro Hispano. Matosinhos.
  • Fátima Soares Serviço de Ginecologia/Obstetrícia. Unidade Local de Saúde de Matosinhos. Hospital Pedro Hispano. Matosinhos.

DOI:

https://doi.org/10.20344/amp.11565

Keywords:

Hypocalcemia, Infant, Newborn, Skull Fractures, Torticollis/congenital, Vitamin D Deficiency

Abstract

Skull fractures are rare in newborns and normally caused by maternal abdominal trauma or complicated deliveries. However, in rare cases, these fractures are found in neonates born after an uneventful pregnancy and delivery. We report a case of a primigravida who underwent cesarean delivery due to failure of descent and malpositioning of the fetal head. After birth, a right temporoparietal fracture and congenital muscular torticollis were diagnosed. The newborn’s blood tests showed hypocalcemia and relative hypoparathyroidism. Both mother and newborn presented low vitamin D levels. Serial imaging control showed gradual resolution of the lesions, with the newborn being discharged at the 10th day of life with vitamin D supplementation. This is an interesting case because the combination of three conditions - maternal and fetal hypovitaminosis D, congenital torticollis and malposition of the cephalic pole during labor – may have synergistically contributed to a spontaneous intrauterine skull fracture.

Downloads

Download data is not yet available.

Downloads

Published

2020-05-04

How to Cite

1.
Dória M, Viveiros C, Rodrigues LR e, Soares F. A Rare Case of Spontaneous Intrauterine Skull Fracture. Acta Med Port [Internet]. 2020 May 4 [cited 2024 Dec. 26];33(5):344-6. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/11565

Issue

Vol. 33 No. 5 (2020): May

Section

Case Report

License

All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.

It is the author’s responsibility to obtain approval for the reproduction of figures, tables, etc. from other publications.

Upon acceptance of an article for publication, the authors will be asked to complete the ICMJE “Copyright Liability and Copyright Sharing Statement “(http://www.actamedicaportuguesa.com/info/AMP-NormasPublicacao.pdf) and the “Declaration of Potential Conflicts of Interest” (http:// www.icmje.org/conflicts-of-interest). An e-mail will be sent to the corresponding author to acknowledge receipt of the manuscript.

After publication, the authors are authorised to make their articles available in repositories of their institutions of origin, as long as they always mention where they were published and according to the Creative Commons license.

Crossref
Scopus
Google Scholar
Europe PMC