두개기저부 골절 및 동반된 외상에 대한 임상적 고찰 = Clinical Analysis of Basal Skull Fracture and Associate Injury

다국어 초록 (Multilingual Abstract)

The authors analyzed 74 cases of basal skull fracture which were treated in the Department of Neurosurgery, Chungnam National University Hospital from January 1985 to October 1998. Clinical features and radiological findings were reviewed and analyzed.
The results of the analysis are summarized as follow:
1. The basal skull fracture were more common in man than woman.
2. 61% of the injured were by traffic accident and 35% were by fall down
3. The outcome of treatment were related to initial GCS(Glasgow coma scale) of the patients.
4. Clinical features were otorrhea(64%), rhinorrhea(49%), and raccoon eye(34%) etc in decreasing order.
5. Combined pathologies were pneumocephalus(58%), skull fracture(53%), epidural hematoma (24%), contusion(18%) etc in decreasing order.
6. CSF leakage were noted in 53 cases and immediate type of CSF leakage was more than delayed type
7. The facial nerve and optic nerve were the most commonly injured cranial nerve
8. The time of onset and the degree of facial palsy had a influence on recovery of facial nerve function.
9. Meningitis occured in 3 cases (4%) of basal skull fracture associated with CSF leakage