Most penetrating skull injuries are caused by gun shot wounds or missiles. The compound depressed skull fracture represents an acute neurosurgical emergency. Management and diagnosis of such cases have been described, but its occurence following a fall onto a piece of wood is quite unusual. A 75-year-old female fell onto a piece of wood that penetrated her skull on the left frontal region and w...

Compound depressed skull fractures occur commonly from assault with various sharp and blunt objects. The use of a stiletto heeled shoe as an offensive weapon has not been reported before as a cause of such an injury. However unusual the history of assault, a clear picture of the mechanism of the injury is vital. Patients with scalp lacerations following a direct blow to the head must be evaluat...

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...

© 2014 Asian Journal of Neurosurgery | Published by Wolters Kluwer ‐ Medknow small and crowded space and any lesion reducing the volume can elevate the intra-cavitary pressure leading to fourth ventricular compression and hydrocephalus, a mechanism may be responsible for brain stem dysfunction in cases of closed depressed fracture of the posterior fossa. As seen in the present case, early surgi...

INTRODUCTION There has been much debate about the ideal timing of surgery of frontal depressed skull fractures (DSF). In this paper, we assess whether timing of surgery may have influenced outcome. METHODS Retrospective cohort of 40 consecutive patients with frontal DSF who underwent surgical treatment over a 36-month period. The patients were divided into early surgery group (ESG) which were...