PMC5993435_01
Imaging at initial presentation - CT brain without contrast showing minimally displaced right parietal fracture on coronal plane (B, white arrow) and absence of brain parenchymal injury on coronal and axial plane (A, C).
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F1
CT brain without contrast showed a mildly displaced fracture of the right parietal bone (Figure 1).
Imaging at 3 weeks after dog bite - Magnetic Resonance Imaging sagittal and coronal plane (A and B) demonstrating dural tear and right parietal encephalocele and subgaleal fluid collection. CT imaging bone window coronal plane (C) and three-dimensional CT imaging (D) show the osseous defect in the right parietal region.
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F2
Three-dimensional CT brain imaging demonstrated the osseous defect in the right parietal region (Figure 2), corresponding to the site of the minimally displaced right parietal fracture from the Rottweiler bite.
Surgical repair of the growing skull fracture. A. Left lateral decubitus positioning of patient. B. Leptomeningeal cyst is opened, showing brain tissue herniating through osseous defect (asterisk). C and D. Craniectomy is performed. E and F. Water-tight closure of dural defect is secured with pericranium.
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F3
A small bur hole was drilled and a 2 x 2.5 cm craniectomy made (Figure 3).