Is routine computed tomographic (CT) scanning necessary in suspected basal skull fractures?

Goh, Keith Y.C.; Ahuja, Anil T.; Walkden, S B; Poon, Wai-sang

doi:10.1016/s0020-1383(97)00024-7

Cited by 30 publications

(30 citation statements)

References 7 publications

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“…The association of ''raccoon eyes'' with skull base fractures has been described by several authors too (Goh et al, 1997;Kral et al, 1997;Herbella et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

Skull base and maxillofacial fractures: Two centre study with correlation of clinical findings with a comprehensive craniofacial classification system

Bächli

Leiggener

Gawelin

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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“…The association of ''raccoon eyes'' with skull base fractures has been described by several authors too (Goh et al, 1997;Kral et al, 1997;Herbella et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

Skull base and maxillofacial fractures: Two centre study with correlation of clinical findings with a comprehensive craniofacial classification system

Bächli

Leiggener

Gawelin

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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“…Cranial computed tomography (CCT) is the diagnostic standard of care for suspected skull-base injury [1][2][3]. Newly available multidetector CT systems offer speed and high spatial resolution imaging of the skull base along with a continuously increasing number of transverse sections that enable early and exact diagnosis of fractures.…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional fracture visualisation of multidetector CT of the skull base in trauma patients: comparison of three reconstruction algorithms

et al. 2009

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The purpose of this study was to retrospectively assess the detection rate of skull-base fractures for three different three-dimensional (3D) reconstruction methods of cranial CT examinations in trauma patients. A total of 130 cranial CT examinations of patients with previous head trauma were subjected to 3D reconstruction of the skull base, using solid (SVR) and transparent (TVR) volume-rendering technique and maximum intensity projection (MIP). Three radiologists independently evaluated all reconstructions as well as standard high-resolution multiplanar reformations (HR-MPRs). Mean fracture detection rates for all readers reading rotating reconstructions were 39, 36, 61 and 64% for SVR, TVR, MIP and HR-MPR respectively. Although not significantly different from HR-MPR with respect to sensitivity (P = 0.9), MIP visualised 18% of fractures that were not reported in HR-MPR. Because of the relatively low detection rate using HR-MPRs alone, we recommend reading MIP reconstructions in addition to the obligatory HR-MPRs to improve fracture detection.

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“…The positive predictive value of clinical signs to diagnose basal skull fracture is increased by the presence of both Battle's sign and blepharohematoma [6]. Furthermore, the presence of periorbital bruising or more than two clinical signs is strongly associated with computerized tomography scans that confirm basal skull fracture [7]. This case report emphasizes that there must be alternative aetiologies for the development of this clinical sign other than basal skull fracture.…”

Section: Discussionmentioning

confidence: 74%

False-Positive Presentation of Battle’s Sign During Hepatic Encephalopathy

et al. 2008

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Is routine computed tomographic (CT) scanning necessary in suspected basal skull fractures?

Cited by 30 publications

References 7 publications

Skull base and maxillofacial fractures: Two centre study with correlation of clinical findings with a comprehensive craniofacial classification system

Skull base and maxillofacial fractures: Two centre study with correlation of clinical findings with a comprehensive craniofacial classification system

Three-dimensional fracture visualisation of multidetector CT of the skull base in trauma patients: comparison of three reconstruction algorithms

False-Positive Presentation of Battle’s Sign During Hepatic Encephalopathy

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