Head Injuries and Meningitis

Linell, Eric A.; Robinson, W. L.

doi:10.1136/jnnp.4.1.23

Cited by 27 publications

(6 citation statements)

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“…5,7 Our experience agrees with this finding and those of many other reports that have demonstrated that compound skull base fractures can indeed be complicated by meningitis, regardless of their association with a CSF leak. 2,5,9,[12][13][14][15]21,22,26,28…”

Section: Discussionmentioning

confidence: 99%

“…Instead, surgical decision making is primarily guided by whether the fracture is associated with persistent cerebrospinal fluid (CSF) rhinorrhea. 1,4,25 Rhinorrhea or tension pneumocele, however, can develop many (5-45) years after injury, 8,9,13,14,16,19,21,22 and a fatal attack of pneumococcal meningitis, without preced-ing CSF rhinorrhea, may be the first presentation of a posttraumatic fistula. 8 The reasons for poor healing in such cases are not fully understood.…”

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confidence: 99%

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Compound anterior cranial base fractures: classification using computerized tomography scanning as a basis for selection of patients for dural repair

Sakas

Beale²,

Ameen³

et al. 1998

Journal of Neurosurgery

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In this series, microsurgical repair was accompanied by a minimum complication rate. Hence, the authors recommend that patients with fractures that combine the aforementioned variables should be considered to have a high long-term risk of infection and their injury should be surgically repaired as soon as the posttraumatic edema has subsided. This applies to the following fractures: large cribriform (Type I) with transient rhinorrhea lasting 5 to 8 days and large frontoethmoidal (Type II) with prolonged rhinorrhea lasting longer than 8 days. Furthermore, the authors conclude that this classification can improve the management of posttraumatic CSF fistulas of the anterior cranial base and may provide insights into the mechanisms underlying their spontaneous repair and susceptibility to meningitis.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Compound anterior cranial base fractures: classification using computerized tomography scanning as a basis for selection of patients for dural repair

Sakas

Beale²,

Ameen³

et al. 1998

Journal of Neurosurgery

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“…CSF leaks most commonly result from nonsurgical trauma (80%–90% of cases), 16% from surgical procedures and the remaining 4% are nontraumatic. [361417181920]…”

Section: Discussionmentioning

confidence: 99%

“…CSF leaks most commonly result from nonsurgical trauma (80%-90% of cases), 16% from surgical procedures and the remaining 4% are nontraumatic. [3,6,14,[17][18][19][20] It complicates 12%-30% of all basilar skull fractures. [1] Moreover, it is associated with about a 10% risk of developing meningitis per year.…”

Section: Discussionmentioning

confidence: 99%

Delay posttraumatic paradoxical cerebrospinal fluid leak with recurrent meningitis

et al. 2019

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Cerebrospinal fluid (CSF) rhinorrhea complicates 2% of all head traumas, and 12%–30% of all basilar skull fractures. Posttraumatic CSF rhinorrhea usually occurs within the first 48 h, and majority of them occur in the first 3 months, whereas delayed CSF leak beyond 3 months is rare. On the other hand, CSF usually leaks through dural tearing associated with fracture of the anterior skull base. CSF leak through fractures of middle cranial fossa to the nose through the eustachian tube is very rare. We present a 52-year-old woman with delayed posttraumatic paradoxical CSF rhinorrhea and recurrent meningitis.

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“…[3][4][5] While the time between injury and infection may be brief, there are numerous cases where PTM has been diagnosed years aft er injury. [6,7] Causative agents for PTM include a wide range of both gram-positive and gram-negative organisms. Streptococcus pneumoniae is the most common agent found in most series and is isolated in 52-100% of cases.…”

Section: Case Reportmentioning

confidence: 99%

Penetrating craniofacial arrow injury

Jain

Aggarwal

Lubana

et al. 2010

Journal of Neurosciences in Rural Practice

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Arrow injuries are an extinct form of injury in most parts of the developed world, but are still seen, albeit infrequently in developing countries. Reports of penetrating injuries of the craniofacial region secondary to projectiles are few and far between. The morbidity-free outcome of surgical removal, in case of penetrating arrow injuries, despite the delay in presentation and, moreover, in the emergency surgical practice, are the salient points to be remembered whilst managing such cases, for ‘what the mind knows is what the eyes see and what the eyes see is what can be practiced’. We report the case of a patient who was attacked by a projectile fired from a crossbow. Immediate surgery under general anesthesia was required to remove the arrow, with utmost care to avoid any neurovascular compromise to the facial nerve, as well as minimize postoperative complications such as otitis media and subsequent meningitis.

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Head Injuries and Meningitis

Cited by 27 publications

References 0 publications

Compound anterior cranial base fractures: classification using computerized tomography scanning as a basis for selection of patients for dural repair

Compound anterior cranial base fractures: classification using computerized tomography scanning as a basis for selection of patients for dural repair

Delay posttraumatic paradoxical cerebrospinal fluid leak with recurrent meningitis

Penetrating craniofacial arrow injury

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