Compound elevated skull fracture without neurological deficit: A case report

9^th International Congress on Surgery

August 27-28, 2018 Tokyo, Japan

Puru Bansal

National Institute of Mental Health and Neurosciences, India

Posters & Accepted Abstracts: Surgery

Abstract :

Introduction: A compound elevated fracture with scalp avulsion is a rarely described cranial injury. These injuries are commonly seen in high velocity tangential trauma, usually assault cases. The author describes a single road traffic accident induced cranial trauma which result in an elevated cranial fracture where in patient sustained dural tear, orbital roof fracture with elevated fracture of frontal and temporal bones without any parenchymal injury. Case Description: Patient presented with elevated skull fracture, with fracture fragment still attached to scalp associated with scalp avulsion. The frontal sinus, orbital roof and frontotemporal bones were elevated in the form of an osteomyocutaneous flap. An extradural hematoma was visible with a partial dural tear. The wound was thoroughly debrided under antibiotic coverage, dural tear was repaired with graft and bone was reattached. Patient was discharged on broad spectrum antibiotics and was doing well. Conclusion: Elevated skull fracture usually results from high impact trauma and results in a clinically visible, visually gruesome wound. In cases where patients may be neurologically preserved it is essential to operate early to reduce risk of wound infection and scalp loss.

Biography :

E-mail: lynx.puru@gmail.com