Likvorea u dětských pacientů s kraniocerebrálním poraněním

Title in English Likvorea in pediatric patients with craniocerebral injury.
Authors

BRICHTOVÁ Eva STARÝ David PLÁNKA Ladislav BIBROVÁ Štěpánka HNILIČKA Bronislav

Year of publication 2010
Type Article in Periodical
Magazine / Source Úrazová chirurgie
MU Faculty or unit

Faculty of Medicine

Citation
Field Neurology, neurosurgery, neurosciences
Keywords likvorea craniocerebral injury fracture of the skull base rhinorrhea otorrhea meningitis childhood skull base duroplasty
Description Fractures of the skull base may occur alone or continuing calvariar fissures into the base of the skull. Dura mater adheres firmly to the cranial base, therefore dural rupture occurs during fractures and intracranium communication with the external environment and likvorea are developed. The authors present a set of 19 pediatric patients suffering from likvorea after the skull base fracture during the period of 7 years. 11 patients experienced otorrhea, 6 patients nasal likvorea and 2 patients a combination of rhinorrhea and otorrhea. In pediatric patients, lower likvorea incidence than in adults is reported. Yet likvorea remains a serious post-traumatic condition, which results in breach of the central nervous system and outer environment barrier with intracranial infection threat.

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