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