Contrecoup injury in patients with traumatic temporal bone fracture

Objective:To study the prevalence and patterns of contrecoup injury in traumatic temporal bone fracture cases.Method:A prospective, cohort study was undertaken of all patients with traumatic head injury admitted to a tertiary referral hospital in Malaysia within an 18-month period. High resolution c...

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Main Authors: Asha'ari, Zamzil Amin, Raja Lope Ahmad, Raja Ahmad Al'konee, Ab Rahman, Jamalludin, Kamarudin, Norie Azilah, Wan Leman, Wan Ishlah
Format: Article
Language:English
Published: Cambridge University Press 2011
Subjects:
Online Access:http://irep.iium.edu.my/1804/
http://irep.iium.edu.my/1804/
http://irep.iium.edu.my/1804/
http://irep.iium.edu.my/1804/1/contrecoup_Injury.pdf
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spelling iium-18042016-03-10T02:31:57Z http://irep.iium.edu.my/1804/ Contrecoup injury in patients with traumatic temporal bone fracture Asha'ari, Zamzil Amin Raja Lope Ahmad, Raja Ahmad Al'konee Ab Rahman, Jamalludin Kamarudin, Norie Azilah Wan Leman, Wan Ishlah RF Otorhinolaryngology Objective:To study the prevalence and patterns of contrecoup injury in traumatic temporal bone fracture cases.Method:A prospective, cohort study was undertaken of all patients with traumatic head injury admitted to a tertiary referral hospital in Malaysia within an 18-month period. High resolution computed tomography scans of the brain and skull base were performed in indicated cases, based on clinical findings and Glasgow coma score. Patients with a one-sided temporal bone fracture were selected and subsequent magnetic resonance imaging performed in all cases. Contrecoup injury incidence, type, severity and outcome were recorded.Results:Of 1579 head injury cases, 81 (5.1 per cent) met the inclusion criteria and were enrolled in the study. Temporal bone fractures were significantly associated with intracranial injuries (p < 0.001). The incidence of a contrecoup injury in cases with temporal bone fracture was 13.6 per cent. Contrecoup injury was significantly associated with petrous temporal bone fracture (p < 0.01). The commonest contrecoup injury was cerebral contusion, followed by extradural haematoma and subdural haematoma.Conclusion:Contrecoup injury is not uncommon in cases of temporal bone fracture, and is significantly associated with petrous temporal bone fracture. Cambridge University Press 2011-08 Article PeerReviewed application/pdf en http://irep.iium.edu.my/1804/1/contrecoup_Injury.pdf Asha'ari, Zamzil Amin and Raja Lope Ahmad, Raja Ahmad Al'konee and Ab Rahman, Jamalludin and Kamarudin, Norie Azilah and Wan Leman, Wan Ishlah (2011) Contrecoup injury in patients with traumatic temporal bone fracture. The Journal of Laryngology and Otology, 125 (8). pp. 781-785. ISSN 0022-2151 http://www.jlo.co.uk/Contact-Us.aspx DOI:10.1017/S0022215111000545
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RF Otorhinolaryngology
spellingShingle RF Otorhinolaryngology
Asha'ari, Zamzil Amin
Raja Lope Ahmad, Raja Ahmad Al'konee
Ab Rahman, Jamalludin
Kamarudin, Norie Azilah
Wan Leman, Wan Ishlah
Contrecoup injury in patients with traumatic temporal bone fracture
description Objective:To study the prevalence and patterns of contrecoup injury in traumatic temporal bone fracture cases.Method:A prospective, cohort study was undertaken of all patients with traumatic head injury admitted to a tertiary referral hospital in Malaysia within an 18-month period. High resolution computed tomography scans of the brain and skull base were performed in indicated cases, based on clinical findings and Glasgow coma score. Patients with a one-sided temporal bone fracture were selected and subsequent magnetic resonance imaging performed in all cases. Contrecoup injury incidence, type, severity and outcome were recorded.Results:Of 1579 head injury cases, 81 (5.1 per cent) met the inclusion criteria and were enrolled in the study. Temporal bone fractures were significantly associated with intracranial injuries (p < 0.001). The incidence of a contrecoup injury in cases with temporal bone fracture was 13.6 per cent. Contrecoup injury was significantly associated with petrous temporal bone fracture (p < 0.01). The commonest contrecoup injury was cerebral contusion, followed by extradural haematoma and subdural haematoma.Conclusion:Contrecoup injury is not uncommon in cases of temporal bone fracture, and is significantly associated with petrous temporal bone fracture.
format Article
author Asha'ari, Zamzil Amin
Raja Lope Ahmad, Raja Ahmad Al'konee
Ab Rahman, Jamalludin
Kamarudin, Norie Azilah
Wan Leman, Wan Ishlah
author_facet Asha'ari, Zamzil Amin
Raja Lope Ahmad, Raja Ahmad Al'konee
Ab Rahman, Jamalludin
Kamarudin, Norie Azilah
Wan Leman, Wan Ishlah
author_sort Asha'ari, Zamzil Amin
title Contrecoup injury in patients with traumatic temporal bone fracture
title_short Contrecoup injury in patients with traumatic temporal bone fracture
title_full Contrecoup injury in patients with traumatic temporal bone fracture
title_fullStr Contrecoup injury in patients with traumatic temporal bone fracture
title_full_unstemmed Contrecoup injury in patients with traumatic temporal bone fracture
title_sort contrecoup injury in patients with traumatic temporal bone fracture
publisher Cambridge University Press
publishDate 2011
url http://irep.iium.edu.my/1804/
http://irep.iium.edu.my/1804/
http://irep.iium.edu.my/1804/
http://irep.iium.edu.my/1804/1/contrecoup_Injury.pdf
first_indexed 2023-09-18T20:09:19Z
last_indexed 2023-09-18T20:09:19Z
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