Post-traumatic cerebrospinal fluid rhinorrhea and Transcranial approach surgical outcomes.

Kalhoro, Aurangzeb; Samad, Abdul; Javeed, Farrukh; Hassan, Sher; Rehman, Lal

doi:10.29309/tpmj/2021.28.06.4870

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…These barriers are comprised up of paranasal sinus or the mucosa of nasal cavity, skull base, i.e., bone, arachnoid membrane and dura matter. 1,2 Generally, the CSF rhinorrhoea has been classified as traumatic or non-traumatic. The traumatic aetiology is subdivided into iatrogenic and accidental, while the non-traumatic CSF leak may be spontaneous, for instance, the skull base anomalies or bone erosion due to tumours or hydrocephalus.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Conservative Management of Early Post-Traumatic Cerebrospinal Fluid Rhinorrhea

Khan

Borjali²,

Sajjad³

et al. 2022

J Ayub Med Coll Abbottabad

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Background: The incidence of Post-traumatic Cerebrospinal Fluid Rhinorrhoea (PCSFR) has been decreased due to advanced therapeutic measures. The current investigative study has been arranged to assess the efficacy of conservative management of early PCSFR. Methods: This cross-sectional study was conducted at departmental of Neurosurgery, Ayub Medical Institute, Abbottabad. Patients with traumatic brain injury having Cerebrospinal fluid rhinorrhoea with either gender having age 5–50 year and presenting within seven days of traumatic brain injury were included. Moreover, those with nasal fractures, penetrating head injuries having fever and neck stiffness were also included in the study. Results: A total number of 120 patients having male dominancy, i.e., 86 (72%) were included in the study with the mean age of 27 years ± 8.741 in which 77 (92%) patients were in the age range of 2nd to 4th decades. The commonest cause was trauma due to Road Traffic Accidents (RTA) having 65 (54%) patients. Conservative treatment was effective in 62 (52%) patients predominantly in the patients of 3rd decade, i.e., 31 (50%), in which the effectiveness in male gender was revealed to be 52.32% (45) and effectiveness in RTA patients was recorded to be 54.83%. Similarly, the Chi-Square value was calculated for the PCSFR patients for four groups of patients (5–20, 21–30, 31–40, 41–50) to be 48.27 having critical value of 7.81 with the p-value of 1.87e-10, which completely rejects the Null-hypothesis for the patients of various ages. Conclusion: Based on the current investigative study, it may be concluded that PCSFR is common in middle age population with slight male dominancy. It may also be inferred that RTA is the leading cause of PCSFR in our set up and majority of the patients shows improvement after conservative management. Moreover, the effectiveness of conservative management of PCSFR could be predominantly observed in the patients of 3rd decade.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Conservative Management of Early Post-Traumatic Cerebrospinal Fluid Rhinorrhea

Khan

Borjali²,

Sajjad³

et al. 2022

J Ayub Med Coll Abbottabad

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“…Those who had mild to moderate Glasgow Coma Scale scores were included in the study. 11 and included cases of polytrauma.…”

Section: Inclusion Criteriamentioning

confidence: 99%

Depressed Skull Fracture Surgical Management and Outcome among Head Injury Patients: Experience at Tertiary Care Hospital

Aurangzeb Kalhoro,

Muhammad Hamid Ali,

Vashdev Khimani

et al. 2023

Pak J Neurol Surg

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Objective: To evaluate outcomes in patients with managed depressed skull fractures operatively having head injuries. Methods: This study was conducted at Liaquat University of Medical and Health Sciences, Jamshoro. We analyzed 76 patients who underwent operative management for skull fractures. Patient selection included both children and adults with skull fractures evident on CT brain scans using bone windows. Results: Our study included 76 patients, with 48 males and 28 females, and a mean age of 28.68 ± 10.33 years. Among them, 45 (59.21%) were under 30 years old, and the highest incidence of depressed skull fractures occurred in the 21 – 30 age group. Road traffic accidents were the leading cause, accounting for 42 (55.25%) cases, while falls from heights contributed to 24 (31.57%) cases, and 7 (9.21%) resulted from objects falling on the patients. Conclusion: Patients with head injuries can be fatal if not managed promptly. Neglecting the management of a depressed fracture can also impact the outcome in these cases and lead to a series of complications.

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Post-traumatic cerebrospinal fluid rhinorrhea and Transcranial approach surgical outcomes.

Cited by 2 publications

References 11 publications

Efficacy of Conservative Management of Early Post-Traumatic Cerebrospinal Fluid Rhinorrhea

Efficacy of Conservative Management of Early Post-Traumatic Cerebrospinal Fluid Rhinorrhea

Depressed Skull Fracture Surgical Management and Outcome among Head Injury Patients: Experience at Tertiary Care Hospital

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