A basilar skull fracture is a break of a bone in the base of the skull.[1] Symptoms may include bruising behind the ears, bruising around the eyes, or blood behind the ear drum.[1] A cerebrospinal fluid (CSF) leak occurs in about 20% of cases and may result in fluid leaking from the nose or ear.[1] Meningitis occurs in about 14% of cases.[2] Other complications include injuries to the cranial nerves or blood vessels.[1]
A basilar skull fracture typically requires a significant degree of trauma to occur.[1] It is defined as a fracture of one or more of the temporal, occipital, sphenoid, frontal or ethmoid bone.[1] Basilar skull fractures are divided into anterior fossa, middle fossa and posterior fossa fractures.[1] Facial fractures often also occur.[1] Diagnosis is typically by CT scan.[1]
Treatment is generally based on the extent and location of the injury to structures inside the head.[1] Surgery may be performed to seal a CSF leak that does not stop, to relieve pressure on a cranial nerve or repair injury to a blood vessel.[1] Prophylactic antibiotics do not provide a clinical benefit in preventing meningitis.[2][3] A basilar skull fracture occurs in about 12% of people with a severe head injury.[1]
^ abcdefghijklmnopqrstBaugnon, KL; Hudgins, PA (August 2014). "Skull base fractures and their complications". Neuroimaging Clinics of North America. 24 (3): 439–65, vii–viii. doi:10.1016/j.nic.2014.03.001. PMID 25086806.
^ abcNellis, JC; Kesser, BW; Park, SS (January 2014). "What is the efficacy of prophylactic antibiotics in basilar skull fractures?". The Laryngoscope. 124 (1): 8–9. doi:10.1002/lary.23934. PMID 24122671.
^Ratilal, Bernardo O; Costa, João; Pappamikail, Lia; Sampaio, Cristina; Ratilal, Bernardo O (2015). "Antibiotic prophylaxis for preventing meningitis in patients with basilar skull fractures". The Cochrane Database of Systematic Reviews. 2015 (4): CD004884. doi:10.1002/14651858.CD004884.pub4. PMC 10554555. PMID 25918919.
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A basilarskullfracture is a break of a bone in the base of the skull. Symptoms may include bruising behind the ears, bruising around the eyes, or blood...
Diastatic fractures widen the sutures of the skull and usually affect children under three. Basilarfractures are in the bones at the base of the skull. Linear...
tympanic cavity of the middle ear. Hemotympanum is often the result of basilarskullfracture. Hemotympanum refers to the presence of blood in the middle ear...
fluid through the nose (rhinorrhoea). It is typically caused by a basilarskullfracture, which presents complications such as infection. It may be diagnosed...
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likelihood of head or neck injuries, including the often fatal basilarskullfracture, in the event of a crash. There are many such devices on the market...
highly suggestive of basilarskullfracture, with a positive predictive value of 85%. They are most often associated with fractures of the anterior cranial...
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single bone. Trauma to the occiput can cause a fracture of the base of the skull, called a basilarskullfracture. The basion-dens line as seen on a radiograph...
into the outside retaining wall nearly head-on. He died from a basilarskullfracture, the fifth driver death from rapid-deceleration head-and-neck movements...
part of occipital bone Basilar part of pons Basilar plexus Basilar sinus BasilarskullfractureBasilar sulcus of the pons This disambiguation page lists...
wall virtually head on, killing Adam instantly as he developed a basilarskullfracture. He was 19 years old. Petty's death, along with 1998 Winston Cup...
canal. Fracture of an occipital condyle may occur in isolation, or as part of a more extended basilarskullfracture. Isolated condyle fracture is a type...
The Segond fracture is a type of avulsion fracture (soft tissue structures pulling off fragments of their bony attachment) from the lateral tibial plateau...
of skullfracture can include: leaking cerebrospinal fluid (a clear fluid drainage from nose, mouth or ear) is strongly indicative of basilarskull fracture...
anatomical fracture sites. SkullfractureBasilarskullfracture Blowout fracture – a fracture of the walls or floor of the orbit Mandibular fracture Nasal...
such as in periorbital ecchymosis ("raccoon eyes"), arising from a basilarskullfracture or from a neuroblastoma. As a type of hematoma, a bruise is always...
retaining wall close to the track at nearly 195 mph, suffered a basilarskullfracture and was killed. On race day, Benetton driver JJ Lehto and Lotus...
The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated...
Richard Petty, sustained a diffuse axonal injury secondary to a fatal basilarskullfracture in May 2000 at New Hampshire Motor Speedway during practice for...
neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of the occipital bone. The sphenoid bone is one...
Rhinorrhea can be caused by a head injury, a serious condition. A basilarskullfracture can result in a rupture of the barrier between the sinonasal cavity...
frequently used in an attempt to prevent meningitis in those with a basilarskullfracture there is not enough evidence to determine whether this is beneficial...
upon arrival. He had suffered three individually fatal injuries: a basilarskullfracture, which was named as the official cause of death; blunt trauma from...
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