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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(02): 410-414
DOI: 10.4103/ajns.AJNS_153_18
Original Article

Compound elevated skull fracture presented as a new variety of fracture with inimitable entity: Single institution experience of 10 cases

Ashok Kumar
Department of Neurosurgery, RNT Medical College, Udaipur, Rajasthan
,
Vivek Kankane
Department of Neurosurgery, RNT Medical College, Udaipur, Rajasthan
,
Gaurav Jaiswal
Department of Neurosurgery, RNT Medical College, Udaipur, Rajasthan
,
Pavan Kumar
Department of Neurosurgery, RNT Medical College, Udaipur, Rajasthan
,
Tarun Gupta
Department of Neurosurgery, RNT Medical College, Udaipur, Rajasthan
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Background: Compound elevated Skull fracture (CESF) is a rare variety of fracture with rare presentation in comparison to other type of skull fracture. The mechanical force being applied is tangential causing high impact over skull as comparison to structure underlying the cranium. Objective: Aims of this study are bring attentiveness and management to deal this rare type of fracture and its outcomes. Materials and Methods: In this study, we demonstrated 10 cases of CESF in adult patients from January 2014 to January 2018 in the Department of Neurosurgery at RNT Medical College and M. B. Hospital, Udaipur, Rajasthan, India. Recorded documents were prospectively studied for age of distribution, sex, mode of injury, mechanism of injury, clinical profile, radiological investigations, neurosurgical management, and outcome asses by Glasgow outcome scale. Results: Totally 10 patients had CESF. Six are males and four are females. Male to female ratio was 3:2. Their age range was 20–45 years. The most common mode of injury was Road traffic accident in 60%. Wound exploration, cleaning, debridement, and reduction of fracture segment was done in eight cases, frontal bone craniotomy with evacuation of pneumocephalus done one case, frontal bone craniotomy, and extradural hematoma evacuation was done in one case. The postoperative course was uneventful, and outcome was good (GOS 5) in 8 (80%) cases. Conclusion: In compound elevated fracture, early recognition and immediate surgical intervention should be done to avoid related morbidity and mortality. Any delay in surgery may lead to a high possibility of wound infection and poor outcome.

Key-words:

Compound - elevated - fracture skull - Glasgow Outcome Score

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Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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