Trauma Traumatic Injuries of the Skull Base

  • Alexander KönigEmail author
  • Sebastian Ranguis


The main indication for a surgical procedure after trauma in the area of the anterior cranial fossa (frontobasal injury) is a persisting rhinorrhoea of CSF with the potential of secondary meningitis. At the middle fossa and lateral skull base, indication for surgery is given in cases of epidural haematoma, rhinorrhoea or otorrhoea or injury of the facial nerve. In the posterior fossa, mainly epidural haematomas require surgery, whereupon the surgeon has to keep in mind that the haemorrhage can have its origin from an injury of a venous dural sinus. Significant instabilities of the craniocervical junction after trauma often require occipitocervical fusion.

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© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Neurochirurgische Klinik, Klinikum KarlsruheKarlsruheGermany

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