Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)

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MeSH Review:

Skull Fracture, Basilar

Shanahan, D.F., West, O.C. et al., Dagi, T.F. et al., Kraus, R.R. et al., Park, B.E. et al., et al.

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Disease relevance of Skull Fracture, Basilar

CONCLUSIONS: These uncommon injuries should be suspected in the presence of head and/or chest injuries, basilar skull fracture, or coma (particularly if the computed tomography scan is unremarkable) [1].
In 128 patients with basilar skull fracture but without CSF leak, two out of 65 patients (3.1%) who received prophylactic antibiotics developed meningitis in contrast to none of 63 patients who were treated [2].
A case of nonketotic hyperglycemic hyperosmolar coma occurring in a patient with closed head injury and basilar skull fracture is reported [3].

High impact information on Skull Fracture, Basilar

These results indicate that transsphenoid basilar skull fractures occur along reproducible lines of weakness, including a coronal plane through the anterior sphenoid body and pterygoid plates, a coronal plane through the posterior sphenoid body and clivus, and the sphenopetrosal synchondrosis [4].
Traumatic chiasmal syndrome associated with midline basilar skull fractures [5].
This analysis showed that lateral impacts resulted in a significantly higher rate of serious injury (AIS greater than or equal to 4) than impacts to other regions (68% versus 46%, p less than 0.001) Lateral impacts yielded a higher rate of basilar skull fracture than impacts to other areas of the helmet (46% versus 18%, p less than 0.001) [6].

References

Diagnosis, treatment, and outcome of blunt carotid arterial injuries. Kraus, R.R., Bergstein, J.M., DeBord, J.R. Am. J. Surg. (1999) [Pubmed]
The incidence and prevention of meningitis after basilar skull fracture. Dagi, T.F., Meyer, F.B., Poletti, C.A. The American journal of emergency medicine. (1983) [Pubmed]
Closed head injury complicated by nonketotic hyperglycemic hyperosmolar coma. Park, B.E., Hester, R.W., Netsky, M.G. Surgical neurology. (1975) [Pubmed]
Transsphenoid basilar skull fracture: CT patterns. West, O.C., Mirvis, S.E., Shanmuganathan, K. Radiology. (1993) [Pubmed]
Traumatic chiasmal syndrome associated with midline basilar skull fractures. Heinz, G.W., Nunery, W.R., Grossman, C.B. Am. J. Ophthalmol. (1994) [Pubmed]
Basilar skull fracture in U.S. Army aircraft accidents. Shanahan, D.F. Aviation, space, and environmental medicine. (1983) [Pubmed]

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