Here is a treatment summary of Depressed Midline Skull Fracture with EDH treated in Indore by Dr Sandeep Moolchandani (Brain and Spine Surgeon). Compound Midline depressed fractures are rare. They are seen in patients with high velocity injury like road traffic accidents. Depressed fracture over venous sinuses requires special handling. Surgical elevation involves a risk of massive blood loss due to Superior Sagittal Sinus Bleed. Performing the procedure with the team on the night of Diwali. Patient made through with limited blood loss.
22y/M with H/O High speed RTA due to skidding of bike with H/o LOC(+), VOMITING(+) , CONVULSION(+) /ENT BLEED(-)
Preoperative Condition
GC- POOR
AFEB
P-90/MIN
BP-110/72mmHg
Chest BL AE+
PA- Soft
E1VtM3
PUPIL- Rt NRTL 3.5mm
Lt. RTL 3.0mm
LE-
L/W on high parietal region 6x2cm bone deep
Postoperative Condition
GC- Improved
E1VtM5
PUPIL- Rt SR 3.0 mm
Lt. RTL 3.0mm
Pre vs Postoperative CT
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