Symptoms of a linear fracture of the skull
There is a wound or a bruise on the scalp, but there is no bone impression felt during palpation.
The common signs of any fracture are:
- n n Nausea, vomiting
Absence of pupillary response
Respiratory and circulatory disorders in the event of compression of the brain stem
Confusion or loss of consciousness / h without the use of contrast medium). In some cases, cracks can pass through several bones. When studying the images, special attention should be paid to the intersection of the fracture of the vascular sulcus, since this may damage the intracranial vessels and the shell arteries, which causes the formation of epidural hematomas. Sometimes the edges of the hematoma can be densified and raised, which creates a impression of a depressed fracture when palpating.
Sometimes in medical practice, errors occur when an incomplete fracture (fracture) is assumed by the shadow of the vascular sulcus. Therefore, it is necessary to take into account the location of arterial grooves and the specificity of their branches. They always branch out in a certain direction, their shadows are not as sharp as the fracture lines.
The linear fracture in the X-ray image has the following distinguishing features:
Black line of fracture;
Line fracture straight, narrow, without branching;
Vascular gray sulcus wider in comparison with the fracture line, sinuous, with branching;
Crural sutures of gray color and significant width, with standard stroke.
8-10 days after CCT, cracks in the bones are more clearly defined than immediately after the injury. / p
Treatment of a linear fracture of the skull
intracranial hematomas and damage to the brain structures, linear fractures do not require surgical intervention and require only maintenance therapy, which includes wound treatment and the use of easy painkillers. In case of loss of consciousness, the victim is observed in the medical institution for a minimum of 4 hours. If, as a result of the examination, the neurosurgeon doctor finds out that vital functions are not violated, the patient can be released for home observation.
Within a few weeks after the injury, the fracture area is filled with a fibrous tissue. If the fracture line is narrow enough, then its ossification occurs. The process of ossification lasts approximately 3-4 months in children and up to 2-3 years in adults. If the width of the fracture exceeds several millimeters, then in the fibrous tissue filling it, bone bridges are formed.
Conservative treatment is also subject to cicatricial fissures that continue to its base, but do not pass through the walls of the nasal airways, pyramids and cells of the mastoid processes.
The indication for surgical intervention is the displacement of the bone plate, as a result of which it protrudes over the surface of the cranial vault by more than 1 centimeter. In this case, the risk of damage to the meninges and other brain tissues that may lead to such long-term consequences as epilepsy is great.