Neurosurgical Review

, Volume 20, Issue 1, pp 19–23

Diagnosis and treatment of frontobasal skull fractures

  • Thomas Kral
  • Josef Zentner
  • Uwe Vieweg
  • Laszlo Solymosi
  • Johannes Schramm
Article

DOI: 10.1007/BF01390521

Cite this article as:
Kral, T., Zentner, J., Vieweg, U. et al. Neurosurg. Rev. (1997) 20: 19. doi:10.1007/BF01390521

Abstract

During a five-year-period (January 1990 to December 1994) a total of 67 patients were operated on for frontobasal skull fractures. The indication for surgical treatment was based on the evidence of fractures encroaching paranasal sinuses or the cribriform plate on high-resolution axial or coronal CT scans. The following clinical signs indicating frontobasal trauma were observed: 25 patients (37%) showed rhinoliquorrhea, 14 (21%) had racoon's eyes, and 2 (3%) had meningitis. Distinct dura laceration was observed intraoperatively in 64 of 67 patients (96%). In our experience, high resolution CT has proven to be a sensitive diagnostic tool for frontobasal skull fractures. With respect to the high coincidence of fractures and dura lacerations, the indication for surgical treatment based on CT findings seems to be justified.

Keywords

Computerized tomographyskull fracture

Copyright information

© Walter de Gruyter & Co. 1997

Authors and Affiliations

  • Thomas Kral
    • 1
    • 3
  • Josef Zentner
    • 1
  • Uwe Vieweg
    • 1
  • Laszlo Solymosi
    • 2
  • Johannes Schramm
    • 1
  1. 1.Department of NeurosurgeryUniversity of BonnFed. Rep. of Germany
  2. 2.Department of NeuroradiologyUniversity of BonnFed. Rep. of Germany
  3. 3.Neurochirurgische UniversitätsklinikBonnGermany