Association of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea
Introduction. A gunshot head injury, characterized by a huge intensity of mechanical force, in addition to the direct tissue damage at the location of direct impact, may cause a skull and skull base fracture, distant from the the point of direct impact, which could be further complicated by creating...
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2010-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501011945D.pdf |
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| author | Đilvesi Đula Vuleković Petar Cigić Tomislav Kojadinović Željko Papić Vladimir Horvat Igor |
| author_facet | Đilvesi Đula Vuleković Petar Cigić Tomislav Kojadinović Željko Papić Vladimir Horvat Igor |
| author_sort | Đilvesi Đula |
| collection | DOAJ |
| description | Introduction. A gunshot head injury, characterized by a huge intensity of mechanical force, in addition to the direct tissue damage at the location of direct impact, may cause a skull and skull base fracture, distant from the the point of direct impact, which could be further complicated by creating a communication between endocranium and nasal/paranasal cavities. Such cases pose a great diagnostic and therapeutic challenge for every clinician. Case report. The patient is presented with the history of a perforating gunshot head injury six years ago, with recurrent attacks of meningoencephalitis subsequently, without rhinorrhea. By using high resolution CT scans, previous traumatic skull injury was verified and a fissure in the frontoethmoidal region, far from the point of direct impact, was detected. The patient underwent transnasal endoscopic surgery, in order to seal the communication on skull basis. The patient did not suffer from meningoencephalitis during the next two years. Conclusion. In the cases with late occurrence of posttraumatic meningoencephalitis with no signs of rhinorrhea, a possibility of an existing communication between intracranial and nasal cavities should be considered, as well. By applying modern diagnostic and therapeutic procedures such communication should be precisely located and sealed. |
| first_indexed | 2024-04-12T19:17:54Z |
| format | Article |
| id | doaj.art-4999e72b6bdb4ea38db7152fb6a6c1c5 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 |
| language | English |
| last_indexed | 2024-04-12T19:17:54Z |
| publishDate | 2010-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-4999e72b6bdb4ea38db7152fb6a6c1c52022-12-22T03:19:41ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502010-01-01671194594810.2298/VSP1011945DAssociation of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrheaĐilvesi ĐulaVuleković PetarCigić TomislavKojadinović ŽeljkoPapić VladimirHorvat IgorIntroduction. A gunshot head injury, characterized by a huge intensity of mechanical force, in addition to the direct tissue damage at the location of direct impact, may cause a skull and skull base fracture, distant from the the point of direct impact, which could be further complicated by creating a communication between endocranium and nasal/paranasal cavities. Such cases pose a great diagnostic and therapeutic challenge for every clinician. Case report. The patient is presented with the history of a perforating gunshot head injury six years ago, with recurrent attacks of meningoencephalitis subsequently, without rhinorrhea. By using high resolution CT scans, previous traumatic skull injury was verified and a fissure in the frontoethmoidal region, far from the point of direct impact, was detected. The patient underwent transnasal endoscopic surgery, in order to seal the communication on skull basis. The patient did not suffer from meningoencephalitis during the next two years. Conclusion. In the cases with late occurrence of posttraumatic meningoencephalitis with no signs of rhinorrhea, a possibility of an existing communication between intracranial and nasal cavities should be considered, as well. By applying modern diagnostic and therapeutic procedures such communication should be precisely located and sealed.http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501011945D.pdfhead injuries, penetratingfistulacerebrospinal fluid rhinorrheameningitis |
| spellingShingle | Đilvesi Đula Vuleković Petar Cigić Tomislav Kojadinović Željko Papić Vladimir Horvat Igor Association of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea Vojnosanitetski Pregled head injuries, penetrating fistula cerebrospinal fluid rhinorrhea meningitis |
| title | Association of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea |
| title_full | Association of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea |
| title_fullStr | Association of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea |
| title_full_unstemmed | Association of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea |
| title_short | Association of post-traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea |
| title_sort | association of post traumatic communication of endocranium and nasal cavity with recurrent meningoencephalitis without rhinorrhea |
| topic | head injuries, penetrating fistula cerebrospinal fluid rhinorrhea meningitis |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2010/0042-84501011945D.pdf |
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