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Severe Delayed-Onset Meningitis Developed One Year After a Basilar Skull Fracture Without a Cerebrospinal Fluid Leak: A Case Report.
Cureus
December 2024
Department of Neurosurgery, Osaka University Graduate School of Medicine, Suita, JPN.
Traumatic cerebrospinal fluid (CSF) leakage from skull base fractures increases the risk of bacterial meningitis, which is associated with a high mortality rate in adults, and commonly results in severe neurological outcomes. While most cases of CSF leakage occur within three months post-injury and generally resolve spontaneously, delayed-onset meningitis remains a challenging complication. Herein, we report a rare case of severe bacterial meningitis with an intraventricular abscess one year following a frontal skull base fracture, despite no CSF leak.
View Article and Find Full Text PDFSubmental Intubation: Clinical Anatomy and Video Technical Note.
Head Neck
December 2024
Oral and Maxillofacial Surgery Department, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon, France.
Occipital condyle fractures revisited.
Emerg Radiol
December 2024
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institution, 600 N. Wolfe Street, Phipps B100, Baltimore, MD, 21287, USA.
Purpose: Occipital condyle fractures (OCFs) are classified by the Anderson and Montesano system into Type I (comminuted, minimally displaced), Type II (stable, associated with basilar skull fractures), and Type III (unstable avulsion fractures). We retrospectively analyzed 24,986 cervical spine CT examinations of emergency department patients over five years to determine the incidence and characteristics of OCFs, mechanism of injury, and associated intracranial and cervical spine injuries.
Methods And Materials: The study was IRB-approved and HIPAA compliant.
Clinical Signs of Base of Skull Fracture in the South Indian Population.
Asian J Neurosurg
September 2024
Department of Neurosurgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
Article Synopsis
- The study investigates the clinical signs associated with base of skull fractures (BSF) in patients from a South Indian hospital over three years, focusing on their prevalence and diagnostic value.
- Out of 292 patients, only 18.8% exhibited clinical signs such as raccoon's sign and otorrhea, with those showing signs more likely to have complications during their hospital stay.
- The findings suggest that the clinical signs of BSF have limited diagnostic usefulness, indicating the need for alternative diagnostic methods and caution regarding the use of the nasal route in head injury cases.
The Florida Geriatric Head Trauma CT Clinical Decision Rule.
J Am Geriatr Soc
September 2024
Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.
Background: Several clinical decision rules have been devised to guide head computed tomography (CT) use in patients with minor head injuries, but none have been validated in patients 65 years or older. We aimed to derive and validate a head injury clinical decision rule for older adults.
Methods: We conducted a secondary analysis of an existing dataset of consecutive emergency department (ED) patients >65 years old with blunt head trauma.
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