EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

CLINICAL CHARACTERISTICS OF TRAUMATIC BASAL SKULL FRACTURE IN ROAD TRAFFIC ACCIDENTS

*Dr. Adarsh Trivedi

ABSTRACT

Road traffic accidents (RTAs) have emerged into the list of top 10 causes of mortality in the world. Basal skull fractures (BSF) are alarming injuries resulting from fractures in the bones of the skull base and these fractures are often associated with dural tears. These results in cerebrospinal fluid (CSF) fistula. The pattern and cause of BSF and pattern of CSF leak is also different in various parts. Material and Methods: History of patients admitted to the neurosurgery department who were diagnosed of TBI was taken thoroughly. Demographic variables like age, sex, place of residence were taken. Glasgow Coma Scale (GCS) score was recorded. Patients were evaluated with repeated clinical examinations during the course of the hospital stay. Clinical features in the form of ear bleed or nose bleed at the time of admission, postauricular ecchymosis, raccoon eyes, and CSF leak if any were recorded. Results: 1413 patients with TBI were admitted to the neurosurgery department. Out of which only 64 patients had BSF. According to severity of head injury Mild, moderate and severe were 20(31.25%), 28(43.75%), 16(25.00%) respectively. Maximum mortality was observed in severe injuries 3 (4.69%). Clinically 28(43.75%) had Subconjunctival hemorrage, 41(64.06%) had Raccon eye and 12(18.75%) had post auricular ecchymosis. Most of the BSF were observed in the 17-30 age groups. Conclusion: BSF was mostly observed in the young male population. Clinical signs of BSF are supportive. CSF leak can be managed conservatively. Mortality was 7.81% with the majority of deaths occurring among young age group.

Keywords: TBI, Basal Skull Injury (BSI), CSF, CT.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia