Compound elevated skull fracture: Should we incorporate in skull fracture classification?

Agrawal, Amit; Kumar, S Satish; Reddy, Umamaheswara; Hegde, Kishor V.; Subrahmanyan, B.V.

doi:10.4103/2229-5151.170842

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…This fracture was first described by Balasubramaniam 1 in 2011 in a 24-yearold woman. Subsequently, it was suggested that everted skull fractures must be considered in classifying skull fractures 8,9 . Elevated skull fractures are rarely reported in children 10 .…”

Section: Introductionmentioning

confidence: 99%

A Rare Report Of A Coexisting Everted And A Depressed Skull Fracture In A Child

Usman¹,

Abubakar²

2023

J J Med Sci

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A fracture is a breach in the continuity of a bone. Skull fractures are common among head-injured patients, especially calvaria involvement among children under two (2) years old. Skull fractures are classified based on their radiological pattern (linear, diastatic, comminuted, elevated, and depressed), their anatomic location (calvarium, basal), and their type (simple, compound). When the fractured segment is raised or depressed relative to the nearby normal skull bone, it is said to be an elevated or depressed skull fracture, respectively. A distinct, rare form of an elevated skull fracture described as an everted type may result from a high-impact tangential force. Elevated skull fractures are rare among children compared to the depressed type. We report a rare coexistence of an everted (an elevated type of skull fracture) and a depressed skull fracture in a 4-year-old girl, probably never reported in the literature

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Section: Introductionmentioning

confidence: 99%

A Rare Report Of A Coexisting Everted And A Depressed Skull Fracture In A Child

Usman¹,

Abubakar²

2023

J J Med Sci

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“…[4] Based on the availability of good amount of literature, it can be suggested that there is a need to consider elevated skull fractures in the classification of skull fractures. [5,6] Financial support and sponsorship Nil.…”

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confidence: 99%

Do we need to include “Elevated Skull Fractures” in skull fracture classification?

Agrawal

2018

Asian J Neurosurg

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We read the article which deals with the elevated skull fractures in pediatric age group. [1] Elevated skull fractures are increasingly recognized as a distinct entity in many recent articles. The present article is unique and discusses the issues in the management in pediatric age group. The early recognition and appropriate management of compound elevated fracture resulted in good recovery without any complications. It is evident from the present series that the elevated skull fractures result from a tangential force which causes elevation of the bone fragment (in contrary to depressed skull fractures). Except the elevated nature of the bone fragments, almost all other management principles follow as for depressed skull fractures. One important and interesting point which can be debated is the amount of contamination (which the authors claim to be more in depressed fractures than in elevated skull fractures). [1] A good outcome of these patients is attributed to the fact that tangential force causes less energy to the brain parenchyma. [1][2][3] However, it may not be true in the cases, the underlying mechanism if severe enough can result in fatal injuries. [4] Based on the availability of good amount of literature, it can be suggested that there is a need to consider elevated skull fractures in the classification of skull fractures. [5,6] Financial support and sponsorship Nil.

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Spontaneous evacuation of hyperacute extradural hematoma: two illustrative case reports

et al. 2016

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Spontaneous drainage of extradural hematoma (EDH) through a skull fracture is rare, with only 14 cases reported to date. Five of these belong to pediatric age group. The authors report two cases of spontaneous evacuation of acute EDH, in children, with two differing types of skull fractures, one being an elevated fracture. The context, in which the terminologies of "spontaneous evacuation" and "spontaneous resolution" to be used, is clarified.

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Compound elevated skull fracture: Should we incorporate in skull fracture classification?

Cited by 5 publications

References 11 publications

A Rare Report Of A Coexisting Everted And A Depressed Skull Fracture In A Child

A Rare Report Of A Coexisting Everted And A Depressed Skull Fracture In A Child

Do we need to include “Elevated Skull Fractures” in skull fracture classification?

Spontaneous evacuation of hyperacute extradural hematoma: two illustrative case reports

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