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Depressed skull fracture in a newborn successfully managed conservatively: a case report

Lim CT, Koh MT, Sivanesaratnam V

Asia Oceania J Obstet Gynaecol, 1991 Sep;17(3):227-9.

PMID: 1953432

A preterm baby was born to a multiparous mother by emergency caesarean section at 36 weeks of gestation. Apart from a depression on the right temporo-parietal region measuring 3 cm x 3 cm x 0.5 cm, no other abnormality was noted. A CT scan of the brain excluded the presence of intracranial haematoma and pressure effect on the brain. Spontaneous reduction of the fracture without any adverse neurological sequelae suggests that these fractures can be managed conservatively in some instances.

Matched MeSH terms: Skull Fractures/etiology

Fulltext Blunt force trauma to skull with various instruments

Sulaiman NA, Osman K, Hamzah NH, Amir SP

Malays J Pathol, 2014 Apr;36(1):33-9.

PMID: 24763233 MyJurnal

Deaths due to blunt force trauma to the head as a result of assault are some of the most common cases encountered by the practicing forensic pathologist. Previous studies have shown inflicting injury to the head region is one of the most effective methods of murder. The important factors that determine severity of trauma include the type of weapon used, type and site of skull fracture, intracranial haemorrhage and severity of brain injury. The aim of this study was to determine the characteristics of blunt force trauma to the skull produced by different instruments. Nine adult monkeys (Macaca fascicularis) skulls were used as models. Commonly found blunt objects comprising of Warrington hammer, hockey stick and open face helmet were used in this study. A machine calibrated force generator was used to hold the blunt object in place and to hit the skulls at forces of 12.5N and 25N. Resultant traumatic effects and fractures (linear, depressed, basilar, comminuted, and distastic) were analyzed according to type of blunt object used; surface area of contact and absolute force (N/cm(2)) delivered. Results showed that all investigated instruments were capable of producing similar injuries. The severity of trauma was not related to the surface area of contact with the blunt objects. However, only high absolute forces produced comminuted fractures. These findings were observational, as the samples were too small for statistical conclusions.

Matched MeSH terms: Skull Fractures/etiology

Association of traumatic head injuries and maxillofacial fractures: A retrospective study

Abosadegh MM, Rahman SA, Saddki N

Dent Traumatol, 2017 Oct;33(5):369-374.

PMID: 28504848 DOI: 10.1111/edt.12349

BACKGROUND/AIMS: The association of traumatic head injury (THI) with maxillofacial fractures (MFF) is a major health concern worldwide. In spite of the close anatomical proximity of maxillofacial bones to the cranium, the association of THI with MFF is controversial. The aim of this study was to assess the association between THI and MFF. Other factors associated with THI in patients with MFF were also investigated.

MATERIALS AND METHODS: A hospital-based retrospective study was conducted at the OMFS Unit, Hospital USM, Kelantan, Malaysia. From 12 June 2013 to 31 December 2015, 473 patient records with MFF were reviewed to evaluate the association of THI and MFF.

RESULTS: A total of 331 patients (69.98%) presented with concomitant THI. The most common associated THI were cranial bone fractures (68.6%) followed by intracranial injuries and concussion. A significant association existed between the Glasgow coma scale (GCS) score and the presence of THI concomitant MFF with P-value

Matched MeSH terms: Skull Fractures/etiology

Diabetic artefacts in forensic practice

Murty OP

J Forensic Leg Med, 2009 May;16(4):218-23.

PMID: 19329080 DOI: 10.1016/j.jflm.2008.07.010

A case is presented where confusion arose about skin lesions and whether they were diabetic or electrical in origin. The deceased was a known diabetic and hypertensive man. A middle-aged person in early fifties was found unconscious in the cell and judicial autopsy was performed. He was facing trial for capital punishment of being allegedly involved in drug trafficking and money laundering. He had few marks over his fingers and foot which were considered to be electric marks produced in electric torture. also had fracture of skull and ischemic necrosis of right side of cerebrum; and contrecoup lesions. Findings are documented with photographs of the lesions. The article also depicts photographs of the scene where the victim had fallen and sustained skull fracture.

Matched MeSH terms: Skull Fractures/etiology

A prospective study on elderly patients with facial fractures in a developing country

Royan SJ, Hamid AL, Kovilpillai FJ, Junid NZ, Mustafa WM

Gerodontology, 2008 Jun;25(2):124-8.

PMID: 18485141 DOI: 10.1111/j.1741-2358.2007.00189.x

This paper describes the incidence, aetiology, treatment and complications of facial fractures seen among the elderly in a developing country.

Matched MeSH terms: Skull Fractures/etiology

Head injury from fan blades among children

Alias A, Krishnapillai R, Teng HW, Abd Latif AZ, Adnan JS

Asian J Surg, 2005 Jul;28(3):168-70.

PMID: 16024308

OBJECTIVE: Head injury caused by fan blades is rare among children. We analysed 14 cases of such injury and discuss the causes, type of injury and preventive measures.

METHODS: A retrospective analysis of 14 cases of children who were admitted to the Pediatric Neurosurgical Unit of Hospital Kuala Lumpur after sustaining head injuries caused by fan blades between January 2000 and December 2002 was performed.

RESULTS: The causes of fan-blade head injury included jumping on the upper bunk of a bunk-bed, climbing on a ladder, climbing up onto a table, and being lifted by an adult. Thirteen patients were injured by ceiling fans and one by falling onto an uncovered table fan. School-aged boys were the predominant victims. Mean patient age was 7.9 years (range, 1.0-12.2 years). There was a twin peak incidence of when the accidents occurred: just before lunch in the afternoon and bedtime at night. The types of injury were scalp lacerations, compound depressed fractures and multiple intracranial haemorrhages. Two patients had the complication of wound infection, and one of these patients developed cerebral spinal fluid leak. One patient died from severe head injuries.

CONCLUSION: Safety awareness among parents and caretakers are important as fan-blade head injury among children is preventable.

Matched MeSH terms: Skull Fractures/etiology

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