Case of Depressed Fracture of the Skull: Operation, Recovery
نویسنده
چکیده
nose. At this latter point was a small soft pulsating swelling. The pupils were somewhat dilated and there was extensive extravasation of blood in the right orbit. Breathing was regular. Pulse quick. Right arm was kept still, though no sign of bruising. No paralj'sis of the left side. Bladder and rectum unaffected. 18th?Operation.?Two large flaps were made, with the purpose of avoiding the anterior or posterior temporal arteries. Thus very nearly the whole length of the fracture was exposed, a fracture five inches in length. Over the parietal bone was a cone-shaped depression ; of 011I37 a small part, however, was the continuity of the bone broken. Passing forwards was a gaping fracture, being at its widest, very nearly quarter of an iuch. At this point the dura was torn to the extent of two inches, and brain substance was protruding. The depression was dealt with by means of ?a mastoid trephine. Three holes had to be bored, the last being at the apex of the cone, before the bone could be kept in position ; since every time it was raised, it would spring back again. The hernia was then dealt with. On pressing this gently back, a large quantity of blood escaped from the temporal region. The pressure thus being relieved, the brain substance slipped back into its normal position. Owing to the extensive laceration it was found impossible to stitch the dura. The bones had to be left as thev were since with gentle pressure it was found that they would not meet. An undue force was not deemed
منابع مشابه
A Survey of 423 Cases of Skull Fracture in " Loghman-E-Hakin " Medical Center. Shaheed Beheshti University of Medical Sciences & Health Services.
This retrospective study is performed on 423 cases of skull farcture who refered to "Loghman-eHakim" hospital during a 493 days period (October 1994-March 1995): The fracture types were linear in 85% Depressed in 7%, Basilar in 8% of cases. 71.2% of all cases were male and 28.8% were femal. 72.6% of fracture occured in pediatric age group "Less than 15 years old" and 27.4% in adult group. The ...
متن کاملEvaluation of Correlation between Cases of depressed fracture and Associated Brain lesion
THis cross-sectional study was performed on 382 patients with depressed skull fracture admitted to the neurosurgery ward of Kerman Bahonar Haspital between 1994 and 1999.329 of the patients(86.1%) had open fractures,while the fracture was of closed type in 53 cases (13.9%).of those with open fracture,42%were associated with dura tearing ,whereas the rate was 34% in closed fractures.the most co...
متن کاملParaperesis: a rare complication after depressed skull fracture
Depressed skull fracture is an inward buckling of the skull bones, often because of direct blow to a small surface area of the skull with a blunt object. Monoparesis is often among its clinical presentations, but midline depressed skull fracture presenting as motor weakness of both lower limbs (Paraperesis) has not yet been reported. We report the case of 55 year old male admitted to emergency ...
متن کاملDepressed Comminuted Fracture of the Skull; Trephining; Recovery
on the 10th April 1879, in a state of insensibility, with an injury to the head. The following day, while passing through Kashipore in medical charge of a detachment of British Troops, I was asked by the Assistant-Surgeon of the hospital to see the case ; he told me he suspected fracture of the skull. The history of the patient is as follows :?two hours prior to her reception into hospital, the...
متن کاملPost- traumatic compound elevated fracture of skull simulating a formal craniotomy.
Fracture of the cranial bones following trauma is common. The fracture most commonly encountered in clinical practice is an undisplaced linear fracture of a skull bone or a depressed skull fracture. Compound elevated skull fracture, unlike depressed skull fracture is an extremely rare variety of post-traumatic cranial injury, seldom seen in modern clinical practice. Authors report one such rare...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 39 شماره
صفحات -
تاریخ انتشار 2016