Patterns of intracranial hemorrhage in petrous temporal bone fracture

OBJECTIVE: To study the relationship pattern of intracranial hemorrhage in cases of traumatic petrous temporal bone fracture. METHODS: All head injury cases admitted to the Emergency Department, Hospital Tengku Ampuan Afzan, Pahang, Malaysia in 2008 were assessed. Computerized tomography (CT) scan o...

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Main Authors: Asha'ari, Zamzil Amin, Raja Lope Ahmad, Raja Ahmad Al'konee, Ab Rahman, Jamalludin, Yusof, Rosnida Azura, Kamarudin, Norie Azilah
Format: Article
Language:English
Published: Elsevier 2012
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http://irep.iium.edu.my/3679/1/Patterns_of_intracranial_hemorrhage_in_petrous_temporal.pdf
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spelling iium-36792016-03-10T02:29:13Z http://irep.iium.edu.my/3679/ Patterns of intracranial hemorrhage in petrous temporal bone fracture Asha'ari, Zamzil Amin Raja Lope Ahmad, Raja Ahmad Al'konee Ab Rahman, Jamalludin Yusof, Rosnida Azura Kamarudin, Norie Azilah R Medicine (General) OBJECTIVE: To study the relationship pattern of intracranial hemorrhage in cases of traumatic petrous temporal bone fracture. METHODS: All head injury cases admitted to the Emergency Department, Hospital Tengku Ampuan Afzan, Pahang, Malaysia in 2008 were assessed. Computerized tomography (CT) scan of the skull base was performed in indicated cases. Patients with a petrous temporal bone fracture were included in the study. Subsequent magnetic resonance imaging (MRI) was performed. Intracranial hemorrhages incidence, management and outcome were recorded. RESULTS: From 1421 cases of head injury, 49(3.4%) patients were diagnosed to have a petrous bone fracture from the CT scan. Only 46 cases underwent MRI scan and were included in this study. Of these, 36(78.3%) cases had associated intracranial hemorrhages (p<0.01). Intracranial hemorrhage was associated with the longitudinal types of petrous fracture (p<0.05). Subdural hematoma was the most prevalent type of bleed (55.6%). There was no association between the types of intracranial bleeding (extradural, subdural, subarachnoid or intracerebral hemorrhage) and the types of petrous bone fracture (longitudinal, oblique or transverse). The mortality rate was 17.4%. The mortality cases were associated with the presence of other skull bone fractures (p<0.05). CONCLUSIONS: Petrous fracture is significantly associated with intracranial hemorrhage. There was no association between the types of petrous fracture and the types of intracranial hemorrhages in our material. Elsevier 2012 Article PeerReviewed application/pdf en http://irep.iium.edu.my/3679/1/Patterns_of_intracranial_hemorrhage_in_petrous_temporal.pdf Asha'ari, Zamzil Amin and Raja Lope Ahmad, Raja Ahmad Al'konee and Ab Rahman, Jamalludin and Yusof, Rosnida Azura and Kamarudin, Norie Azilah (2012) Patterns of intracranial hemorrhage in petrous temporal bone fracture. Auris Nasus Larynx, 39 (2). pp. 151-155. ISSN 0385-8146 http://www.elsevier.com/wps/find/journaldescription.cws_home/600104/description#description 10.1016/j.anl.2011.02.010
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Asha'ari, Zamzil Amin
Raja Lope Ahmad, Raja Ahmad Al'konee
Ab Rahman, Jamalludin
Yusof, Rosnida Azura
Kamarudin, Norie Azilah
Patterns of intracranial hemorrhage in petrous temporal bone fracture
description OBJECTIVE: To study the relationship pattern of intracranial hemorrhage in cases of traumatic petrous temporal bone fracture. METHODS: All head injury cases admitted to the Emergency Department, Hospital Tengku Ampuan Afzan, Pahang, Malaysia in 2008 were assessed. Computerized tomography (CT) scan of the skull base was performed in indicated cases. Patients with a petrous temporal bone fracture were included in the study. Subsequent magnetic resonance imaging (MRI) was performed. Intracranial hemorrhages incidence, management and outcome were recorded. RESULTS: From 1421 cases of head injury, 49(3.4%) patients were diagnosed to have a petrous bone fracture from the CT scan. Only 46 cases underwent MRI scan and were included in this study. Of these, 36(78.3%) cases had associated intracranial hemorrhages (p<0.01). Intracranial hemorrhage was associated with the longitudinal types of petrous fracture (p<0.05). Subdural hematoma was the most prevalent type of bleed (55.6%). There was no association between the types of intracranial bleeding (extradural, subdural, subarachnoid or intracerebral hemorrhage) and the types of petrous bone fracture (longitudinal, oblique or transverse). The mortality rate was 17.4%. The mortality cases were associated with the presence of other skull bone fractures (p<0.05). CONCLUSIONS: Petrous fracture is significantly associated with intracranial hemorrhage. There was no association between the types of petrous fracture and the types of intracranial hemorrhages in our material.
format Article
author Asha'ari, Zamzil Amin
Raja Lope Ahmad, Raja Ahmad Al'konee
Ab Rahman, Jamalludin
Yusof, Rosnida Azura
Kamarudin, Norie Azilah
author_facet Asha'ari, Zamzil Amin
Raja Lope Ahmad, Raja Ahmad Al'konee
Ab Rahman, Jamalludin
Yusof, Rosnida Azura
Kamarudin, Norie Azilah
author_sort Asha'ari, Zamzil Amin
title Patterns of intracranial hemorrhage in petrous temporal bone fracture
title_short Patterns of intracranial hemorrhage in petrous temporal bone fracture
title_full Patterns of intracranial hemorrhage in petrous temporal bone fracture
title_fullStr Patterns of intracranial hemorrhage in petrous temporal bone fracture
title_full_unstemmed Patterns of intracranial hemorrhage in petrous temporal bone fracture
title_sort patterns of intracranial hemorrhage in petrous temporal bone fracture
publisher Elsevier
publishDate 2012
url http://irep.iium.edu.my/3679/
http://irep.iium.edu.my/3679/
http://irep.iium.edu.my/3679/
http://irep.iium.edu.my/3679/1/Patterns_of_intracranial_hemorrhage_in_petrous_temporal.pdf
first_indexed 2023-09-18T20:11:36Z
last_indexed 2023-09-18T20:11:36Z
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