Evaluation of Correlation between Cases of depressed fracture and Associated Brain lesion

THis cross-sectional study was performed on ۳۸۲ patients with depressed skull fracture admitted to the neurosurgery ward of Kerman Bahonar Haspital between ۱۹۹۴ and ۱۹۹۹.۳۲۹ of the patients(۸۶.۱%) had open fractures,while the  fracture was of closed type in ۵۳ cases (۱۳.۹%).of those with open fracture,۴۲%were associated with dura tearing ,whereas the rate was ۳۴% in closed fractures.the most common causes  of depressed fracture were accidents with motor vehicles(۵۹.۴%).in most cases (۷۷%) Glasgow coma scale(GCS) on admission was ۱۳-۱۵.there was no associated lesion in ۲۴۷ patients(۶۴.۷%),but ۱۳۵(۳۵.۳%) had one or more lesions,with contusion (۳۴%) and epidural hematoma (۲۳.۷%) asb  the most common ones.in cases when the fracture was caused by motor vehicle accidents,the occurence of clinical manifestations was more than that of the other causes.of ۱۵ patients who died (۳.۹%) ۱۴ ases (۹۳.۳%) had associated lesions.

Keywords:

Depressed fracture , Brain lesion , Clinical sign