Basilar skull fracture

Central nervous system

Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020

A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha

The images are reviewed for internal auditory meatus (IAM) symmetry, middle ear disease, injuries to the ossicular chain, facial nerve, basilar skull fracture/carotid canal (indicative of vascular injury), status of air cells of the petrous temporal bone and the presence of any other fractures. Care should be taken as fissures and sutures can mimic fractures in this region [69; 70].

Basilar, skull and facial fractures in 2^nd row occupants by crash type with a focus on side and rear impacts

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Journal Information

Published in Traffic Injury Prevention, 2022

Chantal S. Parenteau, David C. Viano

Basilar skull fractures occur at the base of the skull and can have a linear, ring or complex fracture pattern. They have been associated with a number of different injury mechanisms, including 1) impact of the side or back of the head (Gurdjian et al. 1961; Pintar et al. 2007), 2) impact on the top of the head (Sances et al. 1986; Alem et al. 1982, 1984), 3) impact to the face or chin forcing the mandible rearward into the skull (Huelke et al. 1988; Hopper et al. 1994; Harvey and Jones 1980; McElhaney et al. 1995), 4) head inertia pulling on the neck (Hubbard et al. 1994) and airbag loading of the face with the occupant in close proximity to the deploying airbag have been found to cause basilar skull fractures in early high-energy airbags (Bandstra and Carbone 2001; Perez and Palmatier 1996).

Basilar skull fracture

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Central nervous system

Basilar, skull and facial fractures in 2nd row occupants by crash type with a focus on side and rear impacts

Basilar, skull and facial fractures in 2^nd row occupants by crash type with a focus on side and rear impacts