Fractures of the clivus: a contemporary series in the computed tomography era.

摘要: OBJECTIVE: We report the morbidity and mortality associated with fractures of clivus discuss management approaches specific to this unique diagnostic entity. METHODS: performed a boolean search our electronic medical record database identify patients that were diagnosed using computed tomography head. A retrospective imaging chart analysis was completed further characterize analyze outcomes. RESULTS: Between January 1999 December 2007, 41 identified clivus. found 0.21 % overall incidence among all head-injured presenting institution 2.3% those cranial fracture. Ten (24.4%) died, neurological vascular complications central base observed in 19 (46%). Furthermore, remote from intracranial hemorrhages 40 (97.6%) 33 (80.5%) patients, respectively. In terms outcomes, 26 (63.5%) had Glasgow Coma Scale score 12 or greater at time discharge hospital. CONCLUSION: demonstrate lower than previously reported rate clival fractures. Nevertheless, as result location, frequently high sequelae.