engleski

Wartime craniobasal injuries in southern Croatia

SUMMARY: During the war in Croatia (1991-1995), 26 patients with craniobasal (facio-orbital) injuries were treated in southern Croatia. Numerous complications that accompany these lesions give them specific neurosurgical importance. Patient records were retrospectively analyzed in order to assess outcome in this group of patients. Cerebrospinal fluid fistula was observed in one third of the patients. Cerebrospinal fluid fistula based infection occured in over 50% of cases. Endocranially located retained foreign bodies were seen in 10 patients. A higher rate of reoperation (mostly for cerebrospinal fluid fistula) was recorded in this group of patients as compared with other sites of head injuries. Favorable outcome was recorded in 18 and unfavorable outcome in 8 patients, whereas 3 patients died. This survey of patient records showed it to be of utomost importance tofollow the well defined neurosurgical policy according to which the primary wound repair (especially of the thorn basal dura mater) should be a definitive one. Cerebrospinal fluid fistula, retained foreign bodies, low Glasgow Coma Scale on admission, and reoperation exert an unfavourable effect on patient outcome.

Brain injuries- epidemiology; Craniobasal trauma -complications; War; Wounds; penetrating - complications; Croatia

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