Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Elevated or everted skull fractures, where the fractured segment of the skull is raised above the surrounding bone, are rare in contemporary surgical practice. Historically noted in ancient texts, these fractures have been sporadically documented in modern medical literature. This study presents a comprehensive analysis of 16 cases, one of the largest collections reported in English literature, to better understand the clinical presentation, management and outcomes of this uncommon injury. This prospective study was conducted over two years (January 2022‐ December 2023) at the Department of Neurosurgery, J.A. Group of Hospitals and G.R. Medical College, Gwalior, MP, India. All age groups with elevated skull fractures were included, except for hemodynamically unstable patients and those with severe comorbidities. Patients underwent initial emergency assessment, including CT scans and received appropriate surgical intervention as needed. Data on demographics, clinical profile, radiological findings, management and outcomes were collected and analyzed. The study included 16 patients (13 males, 3 females) with a median age of 25.5 years. The most common causes were assault (8 cases) and road traffic accidents (5 cases). Fractures were mainly parietal (8 cases) and frontal (7 cases), with Type 2 fractures being the most frequent (8 cases). The median Glasgow Coma Scale (GCS) on admission was 14. Surgical intervention was performed on all patients, with 11 requiring duroplasty. Postoperative complications included two cases of brain abscess and four cases of meningitis. Favorable outcomes (Glasgow Outcome Scale score of 4‐5) were achieved in 94% of the patients at discharge. Elevated skull fractures, though rare, can be effectively managed with timely surgical intervention and comprehensive care. Early diagnosis, appropriate surgical techniques and vigilant postoperative monitoring are crucial in preventing complications and ensuring favorable outcomes.
How to cite this article:
Omkar Shirke, Vivek Kankane, Avdhesh Shukla and Avinash Sharma. Elevated Skull Fracture: Single Institution Experience.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.52.56
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.52.56