Skull-base trauma: neurosurgical perspective
| Autor: | J J, Kruse, D, Awasthi |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Facial Nerve Injuries Male Patient Care Team Skull Base Skull Fractures Temporal Bone Neurosurgical Procedures Subdural Effusion Fracture Fixation Internal Olfactory Nerve Injuries Cranial Fossa Posterior Brain Injuries Optic Nerve Injuries Frontal Bone Sphenoid Bone Frontal Sinus Humans Dura Mater Brain Concussion Cranial Nerve Injuries Craniotomy Retrospective Studies |
| Zdroj: | The Journal of cranio-maxillofacial trauma. 4(2) |
| ISSN: | 1074-3219 |
| Popis: | Trauma to the cranial base can complicate craniofacial injuries and lead to significant neurological morbidity, related to brain and/or cranial nerve injury. The optimal management involves a multidisciplinary effort. This article provides the neurosurgeon's perspective in management of such trauma using a 5-year retrospective analysis of patients sustaining skull-base trauma. The salient features of anterior and middle skull-base (temporal bone) trauma are summarized, and the importance of frontal basilar trauma as well as brain injury is evident. With these injuries, all cranial nerves (except 9 to 12) are at risk; the olfactory nerve and the facial nerve are the first and second, respectively, to sustain injuries. This retrospective analysis provides a better understanding of cranial base trauma and its management. It emphasizes the multifaceted nature of such trauma and the need to recognize anterior skull-base complications, including cerebrospinal fluid leak and brain injury. |
| Databáze: | OpenAIRE |
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