| Autor: |
Ahmad Faried, MD., PhD, Christian B. Kurniawan, MD, Danny Halim, MD., PhD, Muhammad Z. Arifin, MD., PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Interdisciplinary Neurosurgery, Vol 17, Iss , Pp 119-123 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
2214-7519 |
| DOI: |
10.1016/j.inat.2019.04.012 |
| Popis: |
Although an open depressed skull fractures at the anterior cranial fossa is relatively common, comorbidity with a progressive vision loss at initial presentation, with acute communicating hydrocephalus is rare. Here we report a rare case of a progressive vision loss presented with communicating hydrocephalus following open depressed skull fractures at a mid-frontobasal. Fragments of skull were extracted and the dural tear was repaired. Within the first post-operative day, the patient already gained full consciousness and his headache was completely resolved. Unfortunately, the ophthalmologic examinations revealed his vision remains impaired. We discussed the pathological mechanisms of a progressive vision loss and acute communicating hydrocephalus in a patient who was diagnosed with traumatic open depressed skull fracture at a mid-frontobasal, with focus on surgical management of this intriguing case. This case makes a strong argument for an early neurosurgical intervention in frontobasal fractures. Keywords: Open depressed skull fractures at a mid-frontobasal, A progressive vision loss, Acute communicating hydrocephalus |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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