Management of Depressed Skull Fracture: A Study of 93 Cases
Abstract
Objective: To determine the correlation of skull fracture with dural tear in head injury patients presenting to a tertiary care hospital.
Patients and Methods: This study was carried out at Lady Reading Hospital Peshawar from January 2008 to December 2008. All patients who were operated for depressed skull fracture during this study period ware included in the study. X-ray skull and CT scan brain were done for all patients; side and site of skull fracture were noted on imaging and during surgery. The incidence of dural tear associated with depressed skull fracture in various age groups and gender was noted. The results were analyzed using SPSS various 11.
Results: A total of 93 patients of depressed skull fracture were operated. There were 64 male and 29 female. Fall from the height was the main cause of trauma (61.3%). Most of the patients presented with moderate head injury. Dural injury was noted in 59.1% of the cases leading to neurodeficit in the form of hemeparesis/ hemiplegia in majority of cases. All patients were operated elevating the depressed fragments and dura repaired.
Conclusion: Dural injury is associated with morbidity in the form of hemiparesis / hemiplegia in patient having depressed skull fracture mainly at franto-patietal region for which prompt surgical intervention and dural repair are the procedures of choice.
Key Words: Depressed skull fracture, head trauma, duroplasty.
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