Comparison of CT and MRI in diagnosis of cerebrospinal leak induced by multiple fractures of skull base. William Henry Battle and Battle's sign: Mastoid ecchymosis as an indicator of basilar skull fracture: Historical vignette. ![]() Canadian Medical Association Journal, 185(5), 416 Encyclopedia of Clinical Neuropsychology. Cochrane Database of Systemic Reviews, 4 Antibiotic prophylaxis for preventing meningitis in patients with basilar skull fractures. O., Costa, J., Pappamikail, L., & Sampaio, C. What is the efficacy of prophylactic antibiotics in basilar skull fractures? The Laryngoscope, 124(1), 8–9 Journal of Clinical Imaging Science, 6, 47 Diagnostic and clinical management of skull fractures in children. Arneitz, C., Sinzig, M., & Fasching, G.You can learn more about how we ensure our content is accurate and current by reading our editorial policy. We link primary sources - including studies, scientific references, and statistics - within each article and also list them in the resources section at the bottom of our articles. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. have no leakage of brain and spinal fluids.have no broken bones that are out of place.have no neurological issues as determined by doctors.If there are no signs of brain injury, bleeding, or other complications, careful observation by a doctor and home care may be adequate treatment for some minor basilar skull fractures.Ĭhildren with basilar skull fractures could be released from the hospital to recover at home if they: However, all head injuries need to be evaluated by a doctor to rule out skull fractures, brain injuries, and other complications. Usually, younger children who have no symptoms of neurological problems recover well after minor head injuries. Not all of these tests may be required after minor head injuries, depending on the person’s age, underlying health problems, and any medications they are taking. In severe cases, surgery may be needed to treat broken bones, brain injuries, or brain and spinal fluid leaks. They can also reveal whether the broken bones have moved. These tests can show whether the brain is injured and the extent of injury to help the doctor decide on a treatment plan. Some tests that a person may receive include: A doctor will need to evaluate a person’s neurological health as well. But, the appearance of this bruise is not enough to determine what treatment is needed. Share on Pinterest It is recommended to seek immediate medical care with Battle’s sign.īattle’s sign means a person should seek medical care immediately. Therefore, people with possible basilar skull fractures should undergo a computed tomography (CT) scan to check for this complication. This type of injury can cause permanent brain damage or death. People with basilar skull fractures are at high risk of having a cerebrovascular injury. These are called cerebrovascular injuries. Blood vessel injuryīasilar skull fractures can also cause injuries to the blood vessels that supply the brain. The researchers conclude that antibiotics should only be given if the person has meningitis. One study found that there is not enough evidence to support giving people antibiotics for basilar skull fractures alone.Īnother review also states that using antibiotics to prevent meningitis after a basilar skull fracture does not improve outcomes. Meningitis may occur after a fracture because bacteria from the nose, ears, and throat can enter the brain or spinal cord if the base of the skull is injured.Ī person must seek emergency care after a head injury, especially if any of these symptoms appear, as meningitis is life-threatening.Īlthough meningitis is treated with antibiotics, experts say that giving antibiotics after all basilar skull fractures may not be helpful. ![]() ![]() In fact, up to 40 percent of people with a spinal fluid leak will develop meningitis. This increases the risk of bacterial meningitis. Leakage of brain and spinal fluids occurs in up to 20.8 percent of people with basilar skull fractures. Some complications of basilar skull fractures include: Meningitisīacterial meningitis is a dangerous infection of the brain and spinal cord that requires emergency medical treatment. For this reason, emergency medical care is needed to check any blow to the head. A head injury may result in permanent brain injury, bleeding, and other problems. Any head injury can cause serious complications and become life-threatening.
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