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Trauma Traumatic Injuries of the Skull Base

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Surgery of the Skull Base

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Abstract

The main indication for a surgical procedure after trauma in the area of the anterior cranial fossa (frontobasal injury) is a persisting rhinorrhoea of CSF with the potential of secondary meningitis. At the middle fossa and lateral skull base, indication for surgery is given in cases of epidural haematoma, rhinorrhoea or otorrhoea or injury of the facial nerve. In the posterior fossa, mainly epidural haematomas require surgery, whereupon the surgeon has to keep in mind that the haemorrhage can have its origin from an injury of a venous dural sinus. Significant instabilities of the craniocervical junction after trauma often require occipitocervical fusion.

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Authors and Affiliations

  1. Neurochirurgische Klinik, Klinikum Karlsruhe, Karlsruhe, Germany

    Alexander König

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  1. Alexander König
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  2. Sebastian Ranguis
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Correspondence to Alexander König .

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Editors and Affiliations

  1. Neurochirurgische Klinik, Städtisches Klinikum Karlsruhe, Karlsruhe, Baden-Württemberg, Germany

    Alexander König

  2. Neurochirurgische Klinik, Klinikum Karlsruhe, Karlsruhe, Baden-Württemberg, Germany

    Uwe Spetzger

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König, A., Ranguis, S. (2018). Trauma Traumatic Injuries of the Skull Base. In: König, A., Spetzger, U. (eds) Surgery of the Skull Base. Springer, Cham. https://doi.org/10.1007/978-3-319-64018-1_4

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  • DOI: https://doi.org/10.1007/978-3-319-64018-1_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64017-4

  • Online ISBN: 978-3-319-64018-1

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