+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Compound elevated skull fracture: a clinical series of three patients with a review of the literature



Compound elevated skull fracture: a clinical series of three patients with a review of the literature



Turkish Neurosurgery 23(4): 514-517



Compound elevated fracture of the skull is an unusual variety of fracture of the cranial vault that has been rarely described in the currently available literature. The authors describe three such patients with post-traumatic compound elevated skull fracture. The pertinent literature is reviewed, the injury mechanism is highlighted and the management issues are discussed in detail. All three patients in this series presented with elevation of free skull fracture fragments above the surface. The mode of injury was rail accident in two patients and injury by a rapidly moving crane in one patient. Two patients had dural laceration with extrusion of brain matter through the dural defect. The remaining patient had an elevated fracture fragment simulating a formal craniotomy with an intact dura. The patient who suffered crane injury was brought dead. Surgery was performed in remaining two patients. Wound debridement and duraplasty was performed. Both patients received broad-spectrum antibiotics in anti-meningitic doses. Both of these patients did well after surgery. Elevated skull fractures are usually compound injuries. High velocity tangential impact to the skull vault is the most likely causative mechanism in such type of injury. Delay in surgery could lead to intracranial sepsis including meningitis and brain abscess. Thus, these fractures should be aggressively treated.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 052269042

Download citation: RISBibTeXText

PMID: 24101273


Related references

Elevated fracture of skull in pediatric age group: A series of five patients with review of literature. Asian Journal of Neurosurgery 11(1): 75, 2016

Compound elevated skull fractures: Review of literature. Brain Injury 31(4): 434-439, 2017

Compound elevated skull fracture: a forgotten type of skull fracture. Surgical Neurology 65(5): 503-505, 2006

Compound elevated skull fracture: Should we incorporate in skull fracture classification?. International Journal of Critical Illness and Injury Science 5(4): 227-229, 2016

Importance of an intact dura in management of compound elevated fractures; a short series and literature review. Brain Injury 26(2): 194-198, 2012

Compound elevated skull fracture mimicking a frontotemporoorbitozygomatic craniotomy flap. Neurology India 60(4): 448-449, 2016

A Series of Cases of Compound Depressed Fracture of the Skull. Indian Medical Gazette 34(5): 153-156, 1899

Post- traumatic compound elevated fracture of skull simulating a formal craniotomy. Turkish Neurosurgery 19(1): 103-105, 2009

Depressed Fractures of Skull: An Institutional Series of 453 Patients and Brief Review of Literature. Asian Journal of Neurosurgery 13(2): 222-226, 2018

Compound elevated skull fracture with occlusion of the superior sagittal sinus. A case report. Kobe Journal of Medical Sciences 54(5): E260-E263, 2009

Depressed skull fracture following the use of Mayfield headrest in adult patients: about a case and review of the literature. Pan African Medical Journal 24: 129, 2017

Skull fracture secondary to application of a Mayfield skull clamp in an adult patient: case report and review of the literature. Clinical Neurology and Neurosurgery 114(6): 776-778, 2012

Spectrum of skull base tumors in children and adolescents: a series of 42 patients and review of the literature. Child's Nervous System 24(6): 699-706, 2008

Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review. Canadian Journal of Urology 16(2): 4568-4575, 2009

A Fatal Case of Compound Depressed Fracture of the Skull, and Compound Comminuted Fracture of Radius and Ulna. Indian Medical Gazette 12(8): 212, 1877