Fracture Élévation du Crane Simulant une Craniectomie

E Koutaba, L Boukassa, S Kinata-Bambino, HB Ekouélé Mbaki, OB Ngakosso, P Boutsoko, C Maboungo

Abstract


Les auteurs rapportent un cas inhabituel de fracture élévation du crâne. Il a été observé chez un patient de 15 ans qui a été reçu pour traumatisme crânio-encéphalique avec coma d’emblée suite à un accident de la voie publique. L’examen clinique avait permis de retrouver une large plaie crânio-encéphalique frontale avec avulsion de l’os en regard, un coma, un déficit hémi-corporel droit et un état de choc. Une intervention chirurgicale a été pratiquée et les sites ont été simples. Le mécanisme de survenue, la prise en charge lésionnelle à court, moyen et long terme est discutée. L’intérêt de cette observation est triple : sa rareté, les étapes de sa prise en charge et sa bonne évolution.

 

ABSTRACT

The authors report a rare case of elevated skull fracture simulating craniectomy. This occurred in a 15 years old boy who was admitted for head trauma secondary to a road traffic accident and immediate loss of consciousness. The patient was comatose and in chock. He had right side hemiplegia and a wide frontal craniocerebral wound with bone avulsion. Surgery was done and the course was unexpectedly uneventful. In this paper, we discuss the lesion mechanism and our management. This case is interesting because of the rareness of the situation and the uneventful course despite the difficult conditions of  surgical practice in our  department.


Keywords


Traumatisme crânien, Fracture élévation, Craniectomie post traumatique

Full Text:

PDF (Français)

References


-ABU TALHA K, SELVAPANDIAN S, ASADUZZAMAN K, SELINA F, RAHMAN M, RIAD M. Compound elevated skull fracture with occlusion of the superior sagittal sinus. A case report. Kobe J Med Sci. 2009;54(5):260-3.

-ADEOLU AA, SHOKUNBI MT, MALOMO AO, KOMOLAFE EO, OLATEJU SO, AMUSA YB. Compound elevated skull fracture: a forgotten type of skull fracture. Surg Neurol. 2006;65(5):503-5.

-ANIRUDDHA TJ, INDIRA DEVI B, ARIVAZHAGAN A: Traumatic avulsion of cranial bone flap simulating craniotomy. IJNT. 2008;5:53.

-BALASUBRAMANIAM S, TYAGI DK, SAVANT HV. Everted skull fracture. World Neurosurg. 2011;76(5):479.

-BHASKAR S. Compound “elevated” fracture of the cranium. Neurol India. 2010;58(1):149-51.

-BORKAR SA, SINHA S, SHARMA BS. Post- traumatic compound elevated fracture of skull simulating a formal craniotomy. Turk Neurosurg. 2009;19(1):103-5.

-CHHIBER SS, WANI MA, KIRMANI AR, RAMZAN AU, MALIK NK, WANI AA, BHAT AR, DHAR A, KANTH B. Elevated skull fractures in pediatric age group: report of two cases. Turk Neurosurg. 2011;21(3):418-20.

-ENRIQUE FERRER. Contemporary Skull Fractures: Unusual Everted Fracture. World Neurosurg. 2011;76(5):417-18.

-KAYE AH. Head injury. In: Kaye AH, editor. Essential neurosurgery. Singapore7 Churchill Livingstone, 1991:59-80.

-MOHINDRA S, SINGH H, SAVARDEKAR A. Importance of an intact dura in management of compound elevated fractures; a short series and literature review. Brain Inj. 2012;26(2):194-8.

-RALSTON BL. Compound elevated fractures of the skull. J Neurosurg. 1976;44(1):77-9.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.

********************************************************************************************