Fractures of the clivus: classification and clinical features.

摘要: Fractures of the clival complex were diagnosed in a series 17 patients admitted to Maryland Institute for Emergency Medical Services System and University over 30-month period. These fractures divided pathologically into three types based upon their appearance on computed tomography: longitudinal, transverse, oblique. The mechanisms injury similar all groups, Glasgow Coma Scale scores at admission comparable, regardless fracture type, survivors nonsurvivors. Longitudinal associated with severe central nervous system brain stem infarction, 4 6 (67%) these died. Transverse found patients, 3 whom (50%) All had petrous ridge; 2 multiple cranial nerve deficits, one patient developed carotid-cavernous fistula. Of 5 oblique fractures, survived (40%), both palsies; addition, Using present generation tomographic scanners, can be reliably diagnosed; they are probably more common than previously believed separated groups characteristics scans clinical findings.