![]() ![]() In view of the low accuracy of these signs, resulting low clinical value of their presence, and their high sensitivity in the late stage, the study results contraindicate the value of BSF signs for making decisions about using the nasal route for the introduction of catheters and tubes in initial trauma care. Diagnosis is suspected clinically and confirmed by imaging (primarily CT). 041) and Maximum Abbreviated Injury Scale-Head region (p =. Traumatic brain injury (TBI) is physical injury to brain tissue that temporarily or permanently impairs brain function. Although fractures are well diagnosed by tomography 1, the time involved in patient transportation and evaluation of the scan can be too long. ![]() However, the presence of these signs was correlated to head injury severity, indicated by the Glasgow Coma Scale (p =. Introduction It is important to diagnose a skull base fracture (SBF) during the evaluation of an injured patient due to its high morbidity and mortality. 30.5%), and positive predictive value (25.7% vs. With basilar skull fractures, three-dimensional reconstructions are useful. The clinical signs for the early or late detection of BSF had low accuracy (55.9% vs. Although warnings against nasal instrumentation for the purposes of airway. Among the 136 enrolled patients (85.3% male mean age 40 ± 21.4 years), 28 patients (20.6%) had BSF. Basilar skull fractures are commonly encountered in the trauma setting. The following signs of BSF were considered: raccoon eyes, Battle's sign, otorrhea, and rhinorrhea. ![]() We conducted a prospectively designed follow-up study at a referral hospital for trauma care in Sao Paulo, Brazil, and performed structured observations for 48 hr post-blunt head injury in patients aged 12 years or older. We aimed to assess the performance of early and late (within 48 hr posttrauma) signs for BSF diagnosis and to verify the correlation between the presence of these signs and head injury severity. Treatment of isolated injury is generally conservative, unless there is craniocervical junction instability. They are considered a specific type of basilar skull fracture, and importantly can be seen along with craniocervical dissociation. Skull base injury is often seen in the setting of complex facial or orbital fractures, and detection of basilar skull fractures is important, as even linear nondisplaced fractures can be associated with numerous critical complications, including intracranial and orbital injuries, cerebrospinal fluid (CSF) leak, cranial nerve palsies, and. Although clinical signs for the diagnosis of basilar skull fracture (BSF) are ambiguous, they are widely used to make decisions on initial interventions involving trauma patients. Occipital condylar fractures are uncommon injuries usually resulting from high-energy blunt trauma. ![]()
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