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A skull fracture is a break in one or more of the eight bones that form the cranial portion of the skull, usually occurring as a result of blunt force trauma.If the force of the impact is excessive, the bone may fracture at or near the site of the impact and cause damage to the underlying structures within the skull such as the membranes, blood vessels, and brain.
A basilar skull fracture is a break of a bone in the base of the skull. [1] Symptoms may include bruising behind the ears , bruising around the eyes , or blood behind the ear drum . [ 1 ] A cerebrospinal fluid (CSF) leak occurs in about 20% of cases and may result in fluid leaking from the nose or ear . [ 1 ]
It is typically caused by a basilar skull fracture, which presents complications such as infection. It may be diagnosed using brain scans (prompted based on initial symptoms), and by testing to see if discharge from the nose is cerebrospinal fluid. Treatment may be conservative (as many cases resolve spontaneously), but usually involves ...
Decompressive craniectomy (crani-+ -ectomy) is a neurosurgical procedure in which part of the skull is removed to allow a swelling or herniating brain room to expand without being squeezed. It is performed on victims of traumatic brain injury , stroke , Chiari malformation , and other conditions associated with raised intracranial pressure .
A basilar skull fracture as a cause can give the sign of CSF leakage from the ear, nose or mouth. [4] A lumbar puncture can give the symptom of a post-dural-puncture headache . A cerebrospinal fluid leak can be either cranial or spinal, and these are two different disorders. [ 5 ]
Special views focusing on the orbit of the eye may be taken to investigate concerns relating to the eye. [8] CT scans are used by physicians specializing in treating the eye (ophthalmologists) to detect foreign bodies (especially metallic objects), fractures, abscesses, cellulitis, sinusitis, bleeding within the skull (intracranial bleeding), proptosis, Graves disease changes in the eye, and ...
A craniotomy is a surgical operation in which a bone flap is temporarily removed from the skull to access the brain.Craniotomies are often critical operations, performed on patients who are suffering from brain lesions, such as tumors, blood clots, removal of foreign bodies such as bullets, or traumatic brain injury, and can also allow doctors to surgically implant devices, such as deep brain ...
The Hangman's fracture which is a fracture of the C2 vertebral body or dens of the cervical spine upon which the skull base sits to allow the head to rotate, can also be associated with atlanto-occipital dislocation. Despite its eponym, the fracture is not usually associated with a hanging mechanism of injury. [13]