Article Sidebar

Submitted
27 October 2020
Published
5 September 2021
Download
PDF
Statistic
Read Counter : 2188 Download : 1040

Main Article Content

Abstract

Traumatic brain injury (TBI) is the largest contributor to morbidity and mortality in various parts of the world. Skull base fracture (SBF) is one of the many manifestations that can occur in cases of mild to severe TBI. With varying patterns of TBI, it was necessary to review the characteristics of SBF, clinical manifestations, cerebrospinal fluid leakage, and complications. The data were taken from the medical records of SBF patients who were treated at RSUD (Regional Public Hospital) Dr. Soetomo in the period January 2014 - July 2019. Then, the data obtained were written on the collection sheet and analyzed descriptively using RKward. It was found that SBF most often occurs due to severe TBI (60.14%). 77.7% of SBF patients were male and 35.1% of all patients aged 15-24 years. The most frequent cause was traffic accidents (86.5%). The anterior cranial fossa (ACF) was the most frequently fractured part of the skull base (30.4%). There was a significant relationship between the severity of TBI with the occurrence of CSF leakage and complications. About 33 patients (22.3%) had complications such as pneumocephalus and 9 patients (6.1%) had meningitis. Complications in the form of brain abscess and hydrocephalus in 1 (0.7%) patient each. SBF often occurred in men of productive age 15-24 years. The ACF was the most frequently fractured part. The majority were caused by traffic accidents accompanied by severe brain injuries. The most common complications were pneumocephalus, meningitis, brain abscess, and hydrocephalus.

Keywords

Head injury skull base fracture clinical sign complications human & health

Article Details

License

  • Folia Medica Indonesiana is a scientific peer-reviewed article which freely available to be accessed, downloaded, and used for research purposes. Folia Medica Indonesiana (p-ISSN: 2541-1012; e-ISSN: 2528-2018) is licensed under a Creative Commons Attribution 4.0 International License. Manuscripts submitted to Folia Medica Indonesiana are published under the terms of the Creative Commons License. The terms of the license are:

    Attribution ” You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

    NonCommercial ” You may not use the material for commercial purposes.

    ShareAlike ” If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.

    No additional restrictions ” You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

    You  are free to :

    Share ” copy and redistribute the material in any medium or format.

    Adapt ” remix, transform, and build upon the material.

How to Cite
Oktavian, P., Romdhoni, A. C., Dewanti, L., & Fauzi, A. A. (2021). Clinical and Radiological Study of Patients With Skull Base Fracture After Head Injury. Folia Medica Indonesiana, 57(3), 192–198. https://doi.org/10.20473/fmi.v57i3.22824
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. Al-Aieb A, Peralta R, Ellabib M, et al (2017). Traumatic tension pneumocephalus: Two case reports. International Journal of Surgery Case Reports 31, 145-149.
  2. Baugnon KL, Hudgins PA (2014). Skull base fractures and their complications. Neuroimaging Clin N Am 24, 439-65.
  3. Bondada P, Rao V (2020). CT evaluation of patterns of skull base fractures in head traumapatients. International Journal of Scientific Research 9, 9-10.
  4. Carstensen LL, Turan B, Scheibe S, et al (2011). Emotional experience improves with age: Evidence based on over 10 years of experience sampling. Psychol Aging 26, 21-33.
  5. Dewan MC, Rattani A, Gupta S, et al (2018). Estimating the global incidence of traumatic brain injury. Journal of Neurosurgery 130, 1080-1097.
  6. Eom KS (2020). Clinical and radiological characteristics of traumatic pneumocephalus after traumatic brain injury. Korean J Neurotrauma 16, 49-59.
  7. Faried A, Halim D, Widjaya IA, et al (2019). Correlation between the skull base fracture and the incidence of intracranial hemorrhage in patients with traumatic brain injury. Chin J Traumatol 22, 286-289.
  8. Feldman JS, Farnoosh S, Kellman RM, et al (2017). Skull base trauma: Clinical considerations in evaluation and diagnosis and review of management techniques and surgical approaches. Semin Plast Surg 31, 177-188.
  9. Khellaf A, Khan DZ, Helmy A (2019). Recent advances in traumatic brain injury. Neurological Update 266, 2878-2889.
  10. Manarisip MEI, Oley MC, Limpeleh H (2014). Gambaran CT scan kepala pada penderita cedera kepala ringan di BLU RSUP Prof. Dr. R. D. Kandoumanado periode 2012-2013. Jurnal e-CliniC 2, 1-6.
  11. Mei S, Zhao Y, Li L, et al (2020). A 64-year-old woman with raccoon eyes following kidney biopsy: A case report. BMC Nephrology 21, 1-4.
  12. Menon DK, Schwab K, Wright DW, et al (2010). Position statement: Definition of traumatic brain injury. Arch Phys Med Rehabil 91, 1637-40.
  13. Ministry of Health (2019). Riset Kesehatan Dasar/Basic Health Research. Jakarta: Ministry of Health. Available at: https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/.
  14. Olabinri EO, Ogbole GI, Adeleye AO, et al (2015). Comparative analysis of clinical and computed tomography features of basal skull fractures in head injury in southwestern Nigeria. J Neurosci Rural Pract 6, 139-144.
  15. Orrù E, Calloni SF, Tekes A, et al (2018). The child with macrocephaly: differential diagnosis and neuroimaging findings. AJR Am J Roentgenol 210, 848-859.
  16. Pillai P, Sharma R, MacKenzie L, et al (2017). Traumatic tension pneumocephalus – Two cases and comprehensive review of literature. International Journal of Critical Illness & Injury Science 7, 58-64.
  17. Popescu C, Anghelescu A, Daia C, et al (2015). Actual data on epidemiological evolution and prevention endeavours regarding traumatic brain injury. J Med Life 8, 272-277.
  18. Ramadiputra G, Ismiarto YD, Herman H (2018). Survey penyebab kematian berdasarkan prosedur advance trauma life support (ATLS) pada pasien multiple traumadi instalasi gawat darurat (IGD) bedah rumah sakit Hasan Sadikin Bandung periode Januari-Juli 2014. Syifa' MEDIKA 9, 10-15.
  19. Sivanandapanicker J, Nagar M, Kuttty R, et al (2018). Analysis and clinical importance of skull base fractures in adult patients with traumatic brain injury. J Neurosci Rural Pract 9, 370-375.
  20. Sokoya M, Mourad M, Ducic Y (2017). Complications of skull base surgery. Semin Plast Surg 31, 227-230.
  21. Wang KK, Yang Z, Zhu T, et al (2018). An update on diagnostic and prognostic biomarkers for traumatic brain injury. Expert Rev Mol Diagn 18, 165-180.
  22. Wani AA, Ramzan AU, Raina T, et al (2013). Skull base fractures: An institutional experience with review of literature. Indian J Neurotrauma 10, 120-6.
  23. Yellinek S, Cohen A, Merkin V, et al (2015). Clinical significance of skull base fracture in patients after traumatic brain injury. Journal of Clinical Neuroscience 25, 111-15.

Most read articles by the same author(s)