Purpose: An unusual complication following severe head trauma in two infants is described.
Method: 'Acute traumatic encephalocele' or 'extracalvarial herniation' is presented as an entity, different from 'growing skull fracture'.
Results: The acuteness of presentation and non-progressive calvarial fracture aperture, along with increasing size of herniated contents is the hall-mark of such pathology.
Conclusion: Repair of dural defect with a patch after excision of gliosed brain provides satisfactory outcome.
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