The Correlation between Skull Fractures and Intracranial Lesions Due to Traffic Accidents

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dc.contributor.authorYavuz M.S.
dc.contributor.authorAsirdizer M.
dc.contributor.authorCetin G.
dc.contributor.authorBalci Y.G.
dc.contributor.authorAltinkok M.
dc.date.accessioned2024-07-22T08:24:50Z
dc.date.available2024-07-22T08:24:50Z
dc.date.issued2003
dc.description.abstractIn this study, it was aimed to investigate the relationship between skull fractures and intracranial lesions following head injury. For this purpose, 500 cases, which were referred to the Third Committee of Council of Forensic Medicine in Istanbul due to traffic accidents by the courts of laws between 1998 and 2000, were examined retrospectively. They were categorized in 3 groups based on findings of their cranium x-rays and brain tomographies. 1- The cases who have fractures in skull bones with brain lesions 2- The cases who have fractures in skull bones with no brain lesions 3-The cases who have brain lesions with no skull fractures. They were examined in detail according to age, sex, localization of skull fractures and brain lesions, and if surgery was applied or not. Of the cases, 152 (30.4%) had only linear fractures, 69 (13.8%) had depressed fractures, 92 (18.4%) had linear fractures plus intracranial lesions, 49 (9.8%) had depressed fractures plus intracranial lesions and 138 (27.6%) had only intracranial lesions. The rate of intracranial lesion among the cases with the skull fracture was 38.9% (141/362), while the rate of skull fracture among the cases with the intracranial lesion was 50.3% (141/279) (P < 0.001). Male to female ratios were 2.4/1 for linear fractures, 5.2/1 for depressed fractures, and 3.5/1 for intracranial lesions. Linear fractures were more frequent among females whereas depressed fractures were often among males (χ2: 9.68, df: 4, p: 0.046). The mean age was 26.3. The rate of depressed fractures was higher the age groups of 0-30 years. (χ 2: 16.28, df: 4, p: 0.003). Depressed fractures in the regions of frontal and parietal and, linear fracture in the regions of temporal and occipital were found at higher rates (P < 0.001). In conclusion, we reviewed skull fractures and/or intracranial lesions due to traffic accidents, and found depressed fractures to be more common among males whereas linear fractures to be more common among females and young males. In the male, the skull architecture is thicker and stronger than females and young males. We can state that presence of skull fractures lowers the incidence of intracranial lesions by lowering the intracranial pressure.
dc.identifier.DOI-ID10.1097/01.paf.0000103011.14578.c3
dc.identifier.issn01957910
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/20152
dc.language.isoEnglish
dc.subjectAccidents, Traffic
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAge Distribution
dc.subjectAged
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectCraniocerebral Trauma
dc.subjectFemale
dc.subjectForensic Medicine
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRetrospective Studies
dc.subjectSex Distribution
dc.subjectSkull Fractures
dc.subjectadolescent
dc.subjectadult
dc.subjectage distribution
dc.subjectaged
dc.subjectarticle
dc.subjectbrain injury
dc.subjectbrain tomography
dc.subjectchild
dc.subjectcontrolled study
dc.subjectcorrelation analysis
dc.subjectfemale
dc.subjectforensic medicine
dc.subjectforensic pathology
dc.subjectfrontal bone
dc.subjecthuman
dc.subjectinfant
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectnewborn
dc.subjectoccipital bone
dc.subjectpathophysiology
dc.subjectsex ratio
dc.subjectskull fracture
dc.subjectskull radiography
dc.subjecttemporal bone
dc.subjecttraffic accident
dc.subjectX ray analysis
dc.titleThe Correlation between Skull Fractures and Intracranial Lesions Due to Traffic Accidents
dc.typeArticle

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