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Showing posts with label Indications of Surgical Elevation of a Depressed Fracture Skull. Show all posts
Showing posts with label Indications of Surgical Elevation of a Depressed Fracture Skull. Show all posts

Friday, 24 May 2013

Depressed Fracture Skull

Depressed Fracture Skull
CT Scan Head -Depressed Fracture Right Frontal Bone

CT Scan Head -Depressed Fracture Right Frontal Bone

Depressed Fracture Skull can damage brain parenchyma and can result in Pressure effect or Midline shift.
Indications of Surgical Elevation of a Depressed Fracture Skull are
1.     Paediatric patients
2.     Seizures
3.     Depression more than 1.5cm in to the brain parenchyma.
In other cases conservative line of management with Neurosurgery observation ( Head Injury Chart ) may be sufficient.
Head Injury Chart Includes Hourly Monitoring of
1.     Pulse Rate
2.     Blood Pressure
3.     GCS
4.     Pupils- Size and Reaction to Light
5.     Respiratory Rate
6.     Body Temperature
7.     Power of Upper Limbs
8.     Power of Lower Limbs