Basilar skull fracture - Revision history

Hoxbox at 17:15, 31 December 2019

2019-12-31T17:15:22Z

← Older revision		Revision as of 17:15, 31 December 2019
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	==See Also==		==See Also==
	*[[Skull Fracture]]		*[[Skull Fracture]]

			==External Links==
	*Pillai, Saran S. Basilar Skull Fracture: Basics & Beyond available at http://www.emdocs.net/basilar-skull-fracture-basics-beyond/		*Pillai, Saran S. Basilar Skull Fracture: Basics & Beyond available at http://www.emdocs.net/basilar-skull-fracture-basics-beyond/

Hoxbox: /* See Also */

2019-12-31T17:14:45Z

ClaireLewis: /* Clinical Features */

2019-10-22T20:21:07Z

Clinical Features

← Older revision		Revision as of 20:21, 22 October 2019
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	*Retroauricular or mastoid ecchymosis (Battle sign), onset 1-3 days after fracture occurred		*Retroauricular or mastoid ecchymosis (Battle sign), onset 1-3 days after fracture occurred
	*Raccoon eyes: periorbital ecchymosis		*Raccoon eyes: periorbital ecchymosis
	*Clear rhinorrhea or otorrhea		*Clear [[rhinorrhea]] or otorrhea
	**"halo" sign: drop of fluid placed on tissue or filter paper, rapidly expanding ring of clear fluid around red blood defines positive test		**"halo" sign: drop of fluid placed on tissue or filter paper, rapidly expanding ring of clear fluid around red blood defines positive test
	**CSF distinguished from local nasal secretions with presence of beta-trace protein or beta-2 transferrin		**CSF distinguished from local nasal secretions with presence of beta-trace protein or beta-2 transferrin

Rossdonaldson1: /* Background */

2019-08-28T05:01:37Z

Background

← Older revision		Revision as of 05:01, 28 August 2019
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	==Background==		==Background==
			[[File:Cranial bones en.png\|thumb\|Bones of the cranium.]]
	*Involve at least one of five bones that comprise base of the skull <ref> Golfinos JG, Cooper PR. Skull fracture and post-traumatic cerebrospinal fluid fistula. In:Head Injury, 4th, Cooper PR, Golfinos JG (Eds), McGraw-Hill, New York 2000. p.155 </ref>		*Involve at least one of five bones that comprise base of the skull <ref> Golfinos JG, Cooper PR. Skull fracture and post-traumatic cerebrospinal fluid fistula. In:Head Injury, 4th, Cooper PR, Golfinos JG (Eds), McGraw-Hill, New York 2000. p.155 </ref>
	**cribriform plate of ethmoid bone		**cribriform plate of ethmoid bone

Rossdonaldson1: /* Evaluation */

2019-08-28T05:01:06Z

Evaluation

← Older revision		Revision as of 05:01, 28 August 2019
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	==Evaluation==		==Evaluation==
			[[File:Tempbonefract.png\|thumb\|Temporal bone fracture as seen on CT.]]
	[[File:BasSkullFracMark.png\|thumb\|CT showing basilar skull fracture]]		[[File:BasSkullFracMark.png\|thumb\|CT showing basilar skull fracture]]
	*Noncontrast CT head		*Noncontrast CT head

Rossdonaldson1: /* Evaluation */

2019-08-28T04:59:54Z

Evaluation

← Older revision		Revision as of 04:59, 28 August 2019
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	==Evaluation==		==Evaluation==
			[[File:BasSkullFracMark.png\|thumb\|CT showing basilar skull fracture]]
	*Noncontrast CT head		*Noncontrast CT head

Rossdonaldson1: /* Clinical Features */

2019-08-28T04:58:12Z

Clinical Features

← Older revision		Revision as of 04:58, 28 August 2019
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	==Clinical Features==		==Clinical Features==
			[[File:Bilateral periorbital ecchymosis (raccoon eyes).jpg\|thumb\|Raccoon eyes]]
	*[[Nausea/vomiting]], oculomotor deficits from [[cranial nerve palsies\|injuries]] to CN3, 4 or 6		*[[Nausea/vomiting]], oculomotor deficits from [[cranial nerve palsies\|injuries]] to CN3, 4 or 6
	*Retroauricular or mastoid ecchymosis (Battle sign), onset 1-3 days after fracture occurred		*Retroauricular or mastoid ecchymosis (Battle sign), onset 1-3 days after fracture occurred

Rossdonaldson1: /* Differential Diagnosis */

2019-08-28T04:55:39Z

Differential Diagnosis

← Older revision		Revision as of 04:55, 28 August 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Any other type of [[skull fracture]]		{{Head trauma DDX}}
	*Intracranial injury		{{Maxillofacial trauma DDX}}

	==Evaluation==		==Evaluation==

ClaireLewis at 00:35, 20 August 2019

2019-08-20T00:35:30Z

← Older revision		Revision as of 00:35, 20 August 2019
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	==Background==		==Background==
	*~~involve~~ at least one of five bones that comprise base of the skull <ref> Golfinos JG, Cooper PR. Skull fracture and post-traumatic cerebrospinal fluid fistula. In:Head Injury, 4th, Cooper PR, Golfinos JG (Eds), McGraw-Hill, New York 2000. p.155 </ref>		*Involve at least one of five bones that comprise base of the skull <ref> Golfinos JG, Cooper PR. Skull fracture and post-traumatic cerebrospinal fluid fistula. In:Head Injury, 4th, Cooper PR, Golfinos JG (Eds), McGraw-Hill, New York 2000. p.155 </ref>
	**~~cribiform~~ plate of ethmoid bone		**cribriform plate of ethmoid bone
	**orbital plate of the frontal bone		**orbital plate of the frontal bone
	**petrous and squamous portion of the temporal bone		**petrous and squamous portion of the temporal bone
	**sphenoid and occipital bones		**sphenoid and occipital bones
	*~~occur~~ most commonly through temporal bone high risk for extra-axial hematomas, particularly epidural ~~hematomas~~		*Occur most commonly through temporal bone--> high risk for extra-axial hematomas, particularly [[epidural hematoma]]

	==Clinical Features==		==Clinical Features==
	*Nausea or vomiting, oculomotor deficits from injuries to CN3, 4 or 6		*[[Nausea/vomiting]], oculomotor deficits from [[cranial nerve palsies\|injuries]] to CN3, 4 or 6
	*Retroauricular or mastoid ecchymosis (Battle sign), ~~see~~ 1-3 days after fracture ~~ocurred~~		*Retroauricular or mastoid ecchymosis (Battle sign), onset 1-3 days after fracture occurred
	*Raccoon eyes: periorbital ecchymosis		*Raccoon eyes: periorbital ecchymosis
	*Clear rhinorrhea or otorrhea		*Clear rhinorrhea or otorrhea
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Any other type of [[skull fracture]]		*Any other type of [[skull fracture]]
	**Intracranial injury		*Intracranial injury

	==Evaluation==		==Evaluation==
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	==Management==		==Management==
	*~~immediate~~ neurosurgical consultation		*Immediate neurosurgical consultation

	==Disposition==		==Disposition==
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	<references/>		<references/>

	[[Category:~~trauma~~]]		[[Category:Trauma]]

Gregtong: Created page with "==Background== *involve at least one of five bones that comprise base of the skull Golfinos JG, Cooper PR. Skull fracture and post-traumatic cerebrospinal fluid fistula...."

2019-08-19T21:29:42Z

Created page with "==Background== *involve at least one of five bones that comprise base of the skull <ref> Golfinos JG, Cooper PR. Skull fracture and post-traumatic cerebrospinal fluid fistula...."

New page

==Background==
*involve at least one of five bones that comprise base of the skull <ref> Golfinos JG, Cooper PR. Skull fracture and post-traumatic cerebrospinal fluid fistula. In:Head Injury, 4th, Cooper PR, Golfinos JG (Eds), McGraw-Hill, New York 2000. p.155 </ref>
**cribiform plate of ethmoid bone
**orbital plate of the frontal bone
**petrous and squamous portion of the temporal bone
**sphenoid and occipital bones
*occur most commonly through temporal bone high risk for extra-axial hematomas, particularly epidural hematomas

==Clinical Features==
*Nausea or vomiting, oculomotor deficits from injuries to CN3, 4 or 6
*Retroauricular or mastoid ecchymosis (Battle sign), see 1-3 days after fracture ocurred
*Raccoon eyes: periorbital ecchymosis
*Clear rhinorrhea or otorrhea
**"halo" sign: drop of fluid placed on tissue or filter paper, rapidly expanding ring of clear fluid around red blood defines positive test
**CSF distinguished from local nasal secretions with presence of beta-trace protein or beta-2 transferrin
*Hemotympanum

==Differential Diagnosis==
*Any other type of [[skull fracture]]
**Intracranial injury

==Evaluation==
*Noncontrast CT head

==Management==
*immediate neurosurgical consultation

==Disposition==
*Admit for observation regardless of need for surgical intervention

==See Also==
*[[Skull Fracture]]

==References==
<references/>

[[Category:trauma]]

← Older revision		Revision as of 17:14, 31 December 2019
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	==See Also==		==See Also==
	*[[Skull Fracture]]		*[[Skull Fracture]]
			*Pillai, Saran S. Basilar Skull Fracture: Basics & Beyond available at http://www.emdocs.net/basilar-skull-fracture-basics-beyond/

	==References==		==References==