A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss
Although an open depressed skull fractures at the anterior cranial fossa is relatively common, comorbidity with a progressive vision loss at initial presentation, with acute communicating hydrocephalus is rare. Here we report a rare case of a progressive vision loss presented with communicating hydr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-09-01
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| Series: | Interdisciplinary Neurosurgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751919300428 |
| _version_ | 1818328088979701760 |
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| author | Ahmad Faried, MD., PhD Christian B. Kurniawan, MD Danny Halim, MD., PhD Muhammad Z. Arifin, MD., PhD |
| author_facet | Ahmad Faried, MD., PhD Christian B. Kurniawan, MD Danny Halim, MD., PhD Muhammad Z. Arifin, MD., PhD |
| author_sort | Ahmad Faried, MD., PhD |
| collection | DOAJ |
| description | Although an open depressed skull fractures at the anterior cranial fossa is relatively common, comorbidity with a progressive vision loss at initial presentation, with acute communicating hydrocephalus is rare. Here we report a rare case of a progressive vision loss presented with communicating hydrocephalus following open depressed skull fractures at a mid-frontobasal. Fragments of skull were extracted and the dural tear was repaired. Within the first post-operative day, the patient already gained full consciousness and his headache was completely resolved. Unfortunately, the ophthalmologic examinations revealed his vision remains impaired. We discussed the pathological mechanisms of a progressive vision loss and acute communicating hydrocephalus in a patient who was diagnosed with traumatic open depressed skull fracture at a mid-frontobasal, with focus on surgical management of this intriguing case. This case makes a strong argument for an early neurosurgical intervention in frontobasal fractures. Keywords: Open depressed skull fractures at a mid-frontobasal, A progressive vision loss, Acute communicating hydrocephalus |
| first_indexed | 2024-12-13T12:26:37Z |
| format | Article |
| id | doaj.art-e067d341854d4779bc73485fc3ae34dd |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-13T12:26:37Z |
| publishDate | 2019-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-e067d341854d4779bc73485fc3ae34dd2022-12-21T23:46:18ZengElsevierInterdisciplinary Neurosurgery2214-75192019-09-0117119123A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision lossAhmad Faried, MD., PhD0Christian B. Kurniawan, MD1Danny Halim, MD., PhD2Muhammad Z. Arifin, MD., PhD3Corresponding author at: Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran–Dr. Hasan Sadikin Hospital, Jl. Pasteur No, 38, Bandung 40161, Indonesia.; Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran–Dr Hasan Sadikin Hospital, Bandung, IndonesiaDepartment of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran–Dr Hasan Sadikin Hospital, Bandung, IndonesiaDepartment of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran–Dr Hasan Sadikin Hospital, Bandung, IndonesiaDepartment of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran–Dr Hasan Sadikin Hospital, Bandung, IndonesiaAlthough an open depressed skull fractures at the anterior cranial fossa is relatively common, comorbidity with a progressive vision loss at initial presentation, with acute communicating hydrocephalus is rare. Here we report a rare case of a progressive vision loss presented with communicating hydrocephalus following open depressed skull fractures at a mid-frontobasal. Fragments of skull were extracted and the dural tear was repaired. Within the first post-operative day, the patient already gained full consciousness and his headache was completely resolved. Unfortunately, the ophthalmologic examinations revealed his vision remains impaired. We discussed the pathological mechanisms of a progressive vision loss and acute communicating hydrocephalus in a patient who was diagnosed with traumatic open depressed skull fracture at a mid-frontobasal, with focus on surgical management of this intriguing case. This case makes a strong argument for an early neurosurgical intervention in frontobasal fractures. Keywords: Open depressed skull fractures at a mid-frontobasal, A progressive vision loss, Acute communicating hydrocephalushttp://www.sciencedirect.com/science/article/pii/S2214751919300428 |
| spellingShingle | Ahmad Faried, MD., PhD Christian B. Kurniawan, MD Danny Halim, MD., PhD Muhammad Z. Arifin, MD., PhD A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss Interdisciplinary Neurosurgery |
| title | A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss |
| title_full | A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss |
| title_fullStr | A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss |
| title_full_unstemmed | A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss |
| title_short | A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss |
| title_sort | rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss |
| url | http://www.sciencedirect.com/science/article/pii/S2214751919300428 |
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