Background: To study the association of CSF leak in Fronotbasal skull Fractures classified with the Burstein’s Classification.Methods: A prospective study was conducted from November 2014 to May 2016 in patients admitted with head injuries to KIMSDU, Karad, Maharashtra. All data was retrieved using a standardized data collection form.Results: Out of the total 55 patients of frontobasal fracture, 39 (70.9%) were found to have CSF leak. Out of 39 patients with CSF leak 34 (61.8%) had Type I head injury, 3 (5.5%) had Type II head injury, and 2 (3.6%) had Type III head injury. Statistical analysis showed significant association between CSF leak and Burstein’s classes of head injury patients (p< 0.05).Conclusions: It was found that patients who had Burstein Type I injuries had a higher chance of CSF leak and most post traumatic leaks could be managed conservatively.
Bilateral thalamic haemorrhage is an unusual complication of burr hole drainage surgery. We present the case of a patient with this rare postoperative complication of bilateral thalamic haemorrhage following burr hole drainage of a chronic subdural hematoma.
BACKGROUNDPosterior reversible encephalopathy is a proposed clinico-neuroradiological entity characterised by headache, altered mental status, cortical blindness, seizures, other focal neurological signs and a diagnostic magnetic resonance imaging. A variety of different aetiologies have been reported like hypertension, pre-eclampsia/eclampsia, uraemia and porphyria. With early diagnosis and prompt treatment, the syndrome is usually completely reversible. We report a case of PRES in a patient with elevated blood pressure. Clinicians as well as radiologists must be familiar with this clinically frightening, underdiagnosed condition to assure timely diagnosis and treatment to prevent persistent deficits.
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