Skull-base fractures: Pearls of etiopathology, approaches, management, and outcome
Fractures involving skull bases usually results from high-velocity impacts, i.e., motor vehicular accidents. The estimated incidence of skull-base fracture varies from 4% of all head injuries to 7%–16% of closed head injuries. Many studies have emphasized the importance of the management of basal sk...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-01-01
|
| Series: | Apollo Medicine |
| Subjects: | |
| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=2;spage=93;epage=96;aulast=Narasinga |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850084331624595456 |
|---|---|
| author | K V. L Narasinga Rao Padilla-Zambrano Huber Said Luis Rafael Moscote-Salazar Guru Duatta Satyarthee V Anil Kumar Ranabir Pal Amit Agrawal |
| author_facet | K V. L Narasinga Rao Padilla-Zambrano Huber Said Luis Rafael Moscote-Salazar Guru Duatta Satyarthee V Anil Kumar Ranabir Pal Amit Agrawal |
| author_sort | K V. L Narasinga Rao |
| collection | DOAJ |
| description | Fractures involving skull bases usually results from high-velocity impacts, i.e., motor vehicular accidents. The estimated incidence of skull-base fracture varies from 4% of all head injuries to 7%–16% of closed head injuries. Many studies have emphasized the importance of the management of basal skull fractures as it can be associated with major neurological deficits, can carry a risk of being missed during clinical evaluation in a busy emergency room and can additionally lead to life-threatening complications including cerebrospinal fluid (CSF) leak and meningitis. In addition to the bony injuries, skull-base fractures can be accompanied by injury to cranial nerves, intracranial blood vessels, and CSF rhinorrhea or otorrhea (particularly fractures involving anterior and middle cranial fossa). In the presence of characteristics clinical features, patient should be thoroughly clinical examination and pertinent investigation with appropriate imaging modality for the presence of additional intracranial lesions and as delayed diagnosis can lead to increase in neurological morbidity and also rarely mortality. |
| format | Article |
| id | doaj-art-7faa39512c3d49ba8ca80e01f98676e8 |
| institution | DOAJ |
| issn | 0976-0016 2213-3682 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj-art-7faa39512c3d49ba8ca80e01f98676e82025-08-20T02:44:03ZengSAGE PublishingApollo Medicine0976-00162213-36822019-01-01162939610.4103/am.am_12_19Skull-base fractures: Pearls of etiopathology, approaches, management, and outcomeK V. L Narasinga RaoPadilla-Zambrano Huber SaidLuis Rafael Moscote-SalazarGuru Duatta SatyartheeV Anil KumarRanabir PalAmit AgrawalFractures involving skull bases usually results from high-velocity impacts, i.e., motor vehicular accidents. The estimated incidence of skull-base fracture varies from 4% of all head injuries to 7%–16% of closed head injuries. Many studies have emphasized the importance of the management of basal skull fractures as it can be associated with major neurological deficits, can carry a risk of being missed during clinical evaluation in a busy emergency room and can additionally lead to life-threatening complications including cerebrospinal fluid (CSF) leak and meningitis. In addition to the bony injuries, skull-base fractures can be accompanied by injury to cranial nerves, intracranial blood vessels, and CSF rhinorrhea or otorrhea (particularly fractures involving anterior and middle cranial fossa). In the presence of characteristics clinical features, patient should be thoroughly clinical examination and pertinent investigation with appropriate imaging modality for the presence of additional intracranial lesions and as delayed diagnosis can lead to increase in neurological morbidity and also rarely mortality.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=2;spage=93;epage=96;aulast=Narasingacranial baseinvestigationmanagementoutcomeskull-base fracturetraumatic brain injury |
| spellingShingle | K V. L Narasinga Rao Padilla-Zambrano Huber Said Luis Rafael Moscote-Salazar Guru Duatta Satyarthee V Anil Kumar Ranabir Pal Amit Agrawal Skull-base fractures: Pearls of etiopathology, approaches, management, and outcome Apollo Medicine cranial base investigation management outcome skull-base fracture traumatic brain injury |
| title | Skull-base fractures: Pearls of etiopathology, approaches, management, and outcome |
| title_full | Skull-base fractures: Pearls of etiopathology, approaches, management, and outcome |
| title_fullStr | Skull-base fractures: Pearls of etiopathology, approaches, management, and outcome |
| title_full_unstemmed | Skull-base fractures: Pearls of etiopathology, approaches, management, and outcome |
| title_short | Skull-base fractures: Pearls of etiopathology, approaches, management, and outcome |
| title_sort | skull base fractures pearls of etiopathology approaches management and outcome |
| topic | cranial base investigation management outcome skull-base fracture traumatic brain injury |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2019;volume=16;issue=2;spage=93;epage=96;aulast=Narasinga |
| work_keys_str_mv | AT kvlnarasingarao skullbasefracturespearlsofetiopathologyapproachesmanagementandoutcome AT padillazambranohubersaid skullbasefracturespearlsofetiopathologyapproachesmanagementandoutcome AT luisrafaelmoscotesalazar skullbasefracturespearlsofetiopathologyapproachesmanagementandoutcome AT guruduattasatyarthee skullbasefracturespearlsofetiopathologyapproachesmanagementandoutcome AT vanilkumar skullbasefracturespearlsofetiopathologyapproachesmanagementandoutcome AT ranabirpal skullbasefracturespearlsofetiopathologyapproachesmanagementandoutcome AT amitagrawal skullbasefracturespearlsofetiopathologyapproachesmanagementandoutcome |