Treatment of isolated injury is generally conservative, unless there is craniocervical junction instability. transcervical: midportion of femoral neck. Patients diagnosed with CSF otorrhea or rhinorrhea, who had not undergone an intracranial procedure, elevation of depressed skull fractures, or received a. (See 'Definition and presentation of skull fracture types' below.) Much of the data on skull fractures in adults come from studies of traumatic brain injury (TBI). Patients and methods: The records of all patients with basilar skull fractures and/or severe facial trauma presenting to a major level 1 trauma center from 1991 to 2001 were reviewed. There are three types: subcapital: femoral head/neck junction. Linear fractures are the most common, followed by depressed and basilar skull fractures. Since disruption of blood supply to the femoral head is dependent on the type of fracture and causes significant morbidity, the diagnosis and classification of these fractures is important. They are considered a specific type of basilar skull fracture, and importantly can be seen along with craniocervical dissociation. The femoral neck is the weakest part of the femur. Venous thrombosis complicates up to 31% of these fractures, as many as 75% of caroticocavernous fistulae will have antecedent skull base fractures. Occipital condylar fractures are uncommon injuries usually resulting from high-energy blunt trauma. Skull fractures are most commonly caused by a fall, a road traffic accident, or an assault. Transsphenoidal basilar skull fractures are a particularly serious type of basilar skull fracture usually occurring in the setting of severe traumatic brain injury and with potential for serious complications including damaging the internal carotid arteries and optic nerves as well as high incidence of dural tear with CSF leak.
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