Cases reported "Skull Fractures"

Filter by keywords:



Retrieving documents. Please wait...

341/859. Late posttraumatic meningitis with concealed CSF otorrhea.

    An 11-year-old girl with repeated pneumococcal meningitis after head injury is reported. High resolution CT scan with metrizamide cisternogram disclosed a fracture in petrous bone with collection of contrast medium in middle ear. Operative repair of the dura defect successfully stopped further intracranial infection. In cases of late posttraumatic infection, aggressive survey of the skull base is indicated. ( info)

342/859. Stabilization of the midface with a cranium-to-alveolus bone graft.

    The cranium-to-alveolus bone graft is an alternate method of reconstructing the posterior and lateral midfacial pillars where local reconstruction is not possible. ( info)

343/859. cerebrospinal fluid (C.S.F.) rhinorrhoea without frontobasal fractures.

    C.S.F. Rhinorrhoea must not be considered only in conjunction with fronto-basal fractures. If the patient's history provides no indication of a traumatic cause, various intracranial and extracranial changes must be taken into consideration and a comprehensive diagnostic investigation of the base of the skull instituted. C.S.F. Rhinorroea may also be caused by fractures of the posterior and middle fossae of the skull. Possible forensic difficulties should be taken into consideration by carrying out a complete diagnostic investigation at the earliest possible time and involving all the appropriate specialities. ( info)

344/859. Management of orbital blow-out fractures. case reports and discussion.

    Blow-out fractures are fractures of the orbital floor or medial wall that occur as a consequence of blunt trauma. Impact increases the intraorbital pressure, forcing the nondistensible orbital contents through the orbital floor. The fracture is commonly caused by impact from a baseball or tennis ball. However, any blunt trauma to the orbit, as from a knee or elbow, can result in a blow-out fracture. The characteristic clinical findings include double vision, a sunken globe, and numbness in the distribution of the infraorbital nerve. Sometimes, the only sign of a blow-out fracture is the abrupt inflation of periorbital tissue with air when the patient blows his nose. Standard evaluation of these fractures includes history, physical examination, and radiographs. Some patients benefit from computed tomography (CT), which can be both diagnostic and prognostic. Blow-out fractures do not often produce serious sequelae, and the current trend is toward no treatment. However, it is imperative to rule out any serious injury to the eye itself that would require emergency treatment. ( info)

345/859. Purtscher's retinopathy: an unusual association with a complicated malar fracture.

    A case in which a malar fracture was associated with Purtscher's retinopathy with its accompanying impairment of vision is described. The literature concerning this uncommon condition is reviewed and its aetiology discussed. This case reinforces the importance of visual acuity testing and funduscopy following maxillofacial trauma, not only at presentation but throughout the patient's management. ( info)

346/859. Intrauterine depressed skull fracture. A report of two cases.

    Two cases of intrauterine depressed fracture are presented. In each case, the mother had no history of abdominal trauma during pregnancy, the children were delivered normally without the use of forceps, but a round depression was present in the left frontal bone at time of delivery. CT scans demonstrated a depressed fracture of the left frontal bone and stagnation of cerebrospinal fluid around the fracture. Elevation of the depression was therefore made through a small incision along the rear edge of the frontal bone using a periosteal elevator. A review of intrauterine depressed skull fracture is made and the concept, mechanism, surgical indications and operative methods of this rare fracture are discussed. ( info)

347/859. Three-dimensional computed tomography in evaluation of occipital condyle fracture.

    Fracture of the occipital condyle is a rare sequela of craniocervical trauma. The diagnosis can be suspected in an injured patient with disproportionate torticollis, uncertain evidence of subluxation, and lower cranial nerve symptoms. Standard radiographic diagnosis of this fracture is difficult owing to its superimposition on other bony structures. Film tomography or computed tomography (CT) is usually required to identify the fracture. We report a case of occipital condyle fracture initially masked by atlantoaxial subluxation, but then best demonstrated by three-dimensional CT. ( info)

348/859. Late hypoglossal nerve palsy following fracture of the occipital condyle.

    Fracture of the occipital condyle is a rare problem that can easily be overlooked. We report a patient with occipital condyle fracture who was neurologically intact on admission, and who developed hypoglossal nerve palsy in the late posttraumatic period. The diagnosis was facilitated by the aid of computed tomography. ( info)

349/859. A rationale for the surgical treatment of exophthalmos and exorbitism.

    exophthalmos and exorbitism, although both manifesting protrusion of the eye, differ in their aetiology and treatment. Illustrative cases are presented from both catagories, with a short experimental section illustrating on the degree of orbital expansion obtained with various procedures. methods for accurately measuring orbital volume clinically still require development. ( info)

350/859. Traumatic bilateral abducent nerve palsies.

    A patient sustained a severe cranio-facial injury which included a transverse fracture of the middle cranial fossa through the sella turcica producing otorrhoea, rhinorrhoea, a bilateral abducents palsy and a large aero-coele. All gradually remitted spontaneously. The management of this patient and the patterns of cranial base fractures and their associated clinical features, particularly of the middle cranial fossa, are discussed. ( info)
<- Previous || Next ->


Leave a message about 'Skull Fractures'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.