Traumatic intracranial haemorrhage in conscious patients with facial fractures - A review of 1959 cases.

Traumatic intracranial haemorrhage in conscious patients with facial fractures - A review of 1959 cases. Research Abstract Details 

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Traumatic intracranial haemorrhage in conscious patients with facial fractures - A review of 1959 cases. Abstract Text:

OBJECTIVE: Facial fracture patients who are conscious with a Glasgow Coma Scale (GCS) score of 15 in the absence of clinical neurological abnormalities are commonly not expected to have suffered severe intracranial pathology. However, high velocity impact may result in intracranial haemorrhage in different compartments. METHODS: Over a 7-year period, 1959 facial fracture patients with GCS scores of 15 and the absence of neurological abnormalities were analysed. In 54 patients (2.8%) computed tomography scans revealed the presence of accompanying intracranial haemorrhage (study group). These patients were compared with the 1905 patients without intracranial haemorrhage (control group). RESULTS: Univariate analysis identified accompanying vomiting/nausea and seizures, cervical spine injuries, cranial vault and basal skull fractures to be significantly associated with intracranial bleeding. In multivariate analysis the risk was increased nearly 25-fold if an episode of vomiting/nausea had occurred. Seizures increased the risk of bleeding more than 15-fold. The mean functional outcome of the study group according to the Glasgow Outcome Scale was 4.7+/-0.7. CONCLUSION: Intracranial haemorrhage cannot be excluded in patients with facial fractures despite a GCS score of 15 and normal findings following neurological examination. Predictors, such as vomiting/nausea or seizures, skull fractures and closed head injuries, enhance the likelihood of an intracranial haemorrhage and have to be considered.

Traumatic intracranial haemorrhage in conscious patients with facial fractures - A review of 1959 cases. Publishing Authors By Initials

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Traumatic intracranial haemorrhage in conscious patients with facial fractures - A review of 1959 cases. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of cranio-maxillo-facial surgery : officia

VOLUME: 36

Page Numbers: 372-7

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ISSN: 1010-5182

DAY: 12

MONTH: 05

YEAR: 2008

Traumatic intracranial haemorrhage in conscious patients with facial fractures - A review of 1959 cases. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Traumatic intracranial haemorrhage in conscious patients with facial fractures - A review of 1959 cases.

AFFILIATION: Department of Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, Austria.

Country: Scotland

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MEDLINETA: J Craniomaxillofac Surg

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