Elevated Skull Fractures: an Under-Recognized Entity

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• 作者：Rakesh Gupta ; Raghavan Iyengar ; Akshat Kayal ; Abhishek Songara
• 关键词：Elevated skull fracture ; Duraplasty ; Head injury
• 刊名：Indian Journal of Surgery
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：77
• 期：3-supp
• 页码：1308-1312
• 全文大小：262 KB
• 参考文献：1.Geisler FH (1996) Skull fractures. In: Wilkins RH, Rengachary SS (eds) Neurosurgery vol II. McGraw Hill, New York, pp 2741–2754
  2.Breasted JH (1930) The Edwin Smith Surgical Papyrus. Facsimile and hieroglyphic transliteration with translation and commentary, in two volumes. University of Chicago Press, Chicago
  3.Sanchez GM, Burridge AL (2007) Decision making in head injury management in the Edwin Smith Papyrus. Neurosurg Focus 23(1):1–9CrossRef
  4.Ralston BL (1976) Compound elevated fractures of skull. J Neurosurg 44:77–79CrossRef PubMed
  5.Chhiber SS, Wani MA, Kirmani AR et al (2011) Elevated skull fractures in pediatric age group: report of two cases. Turk Neurosurg 21(3):418–420PubMed
  6.Adeolu AA, Shokumbi MT, Malomo AO et al (2006) Compound elevated skull fracture: a forgotten type of skull fracture. Surg Neurol 65:503–505CrossRef PubMed
  7.Sharma R, Kumar A, Bhat DI et al (2012) Compound elevated skull fractures in adults: a series of five patients and review of literature. Indian J Neurotrauma 9:112–116CrossRef
  8.Borkar SA, Sinha S, Sharma BS (2009) Post-traumatic compound elevated fracture of skull simulating a formal craniotomy. Turk Neurosurg 19(1):103–105PubMed
  9.Borkar SA, Prasad GL, Gupta DK et al (2013) Compound elevated skull fracture: a clinical series of three patients with a review of the literature. Turk Neurosurg 23(4):514PubMed
  10.Mohindra S, Singh H, Savardekar A (2012) Importance of an intact dura in management of compound elevated fractures: a short series and literature review. Brain Inj 26(2):194–198CrossRef PubMed
  11.Khandaker AT, Selvapandian S, Khan A et al (2009) Compound elevated skull fracture with occlusion of the superior sagittal sinus. A case report. Kobe J Med Sci 54(5):260–263
  12.Sharma R, Saligouda P, Bhat DI et al (2012) Compound elevated skull fracture mimicking a frontotemporoorbitozygomatic craniotomy flap. Neurol India 60(4):448–449CrossRef PubMed
  13.Bhaskar S (2010) Compound “elevated” fracture of the cranium. Neurol India 58(1):149–151CrossRef PubMed
  
• 作者单位：Rakesh Gupta (1)
  Raghavan Iyengar (1)
  Akshat Kayal (1)
  Abhishek Songara (1)
  
  1. Department of Neurosurgery, SAIMS Medical College and P.G. Institute, Indore-Ujjain Highway, Sanwer Road, Indore, 453111, Madhya Pradesh, India
  
• 刊物主题：Surgery; Pediatric Surgery; Neurosurgery; Plastic Surgery; Cardiac Surgery; Thoracic Surgery;
• 出版者：Springer India
• ISSN：0973-9793

文摘

Elevated skull fractures form a rare subset of compound skull fractures. Owing to the paucity of cases studied and reported, these fractures still remain an under-recognized entity. We attempt to highlight the incidence of these relatively rare presentations of head injury. We had prospectively studied eight cases of elevated skull fractures in a mixed population of adults (five patients) and pediatric age group (three patients). Patients were evaluated in terms of clinical presentation, mode and mechanism of injury, treatment options, and final outcome, highlighting the appropriate management strategies taken in each case. The injury in these patients was due to tangential impact of a heavy object or assault weapon. Compounding of the fracture externally and dural tears was an inconstant feature. Associated intracranial injuries were cerebral contusions and extradural hematomas. An initial conservative therapy was given to all pediatric patients while adult patients underwent explorative craniectomy and evacuation of hematoma. Although an unusual presentation of skull fractures, elevated skull fractures warrant an early diagnosis, careful clinical evaluation, and prompt surgical therapy (whenever needed) for a successful outcome.