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The complications of basilar skull fracture in mild head injury patients |
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| รหัสดีโอไอ | |
| Creator | Tanya Pitiyakulchorn |
| Title | The complications of basilar skull fracture in mild head injury patients |
| Contributor | Boriboon Chenthanakij, Tanat Vaniyapong, Krongkarn Sutham. |
| Publisher | P.A. LIVING CO., LTD. |
| Publication Year | 2562 |
| Journal Title | Thai Journal of Emergency Medicine |
| Journal Vol. | 1 |
| Journal No. | 1 |
| Page no. | 17-25 |
| Keyword | mild head injury, basilar skull fracture, complication, head CT scan |
| URL Website | https://he02.tci-thaijo.org/index.php/TJEM/index |
| Website title | Thai jounal of Emergency Meddicine |
| ISSN | 2697 - 4924 |
| Abstract | Objective Diagnosis of basilar skull fracture requires high resolution head computer tomography (CT) scan which takes up high costs and usually not available in most hospital. This study aim to find prevalence of intracranial hemorrhage and other complications in patient with basilar skull fracture from mild traumatic head injury to determine the need of head CT scan. Methods In a retrospective descriptive study, all patients age 15 years old or more who presented to emergency department with mild traumatic head injury and had signs of basilar skull fracture were enrolled. Diagnosis of basilar skull fracture was confirmed by head CT scan. We collected data from January, 2009 to September, 2012 to analyze and report complications of basilar skull fracture. Results Mild head injury patients who had basilar skull fracture confirmed by head CT scan and had symptoms of basilar skull fracture 65 cases were include in study. Complications were found in 61 patients (95.4%6). Most complications were intracranial hemo hage and cranial nerve compression which were found in 70.5% and 9.0% respectively. Among these patients, 12 (19.796) were underwent cranial surgery. In patients who were performed head CT scan due to signs of basilar skull fracture, 70.3% of patients had compluication. Signs of basilar skull fracture occurred in 509 of patients whom basilar skull fracture confirmmed by head CT scan. The median length of hospital stay was 4 days.Conclusion Mild traumatic head injury patients who present with signs of basilar skull fracture has high rate of complication and consic iderable number of this group need surgical treatment. Therefore, head CT scan should be performed in all mild traumatic head injury patient who has any signs of basilar skull fracture. |
