What symptom does skull bone crack have?
summary
Many people are not very familiar with the symptoms of the disease of skull fracture, so when there is a skull fracture, although it also brings the pain, they often can't find such a disease in time, and may miss some of the best time for treatment. What are the symptoms of skull fracture? Let's talk about it
What symptom does skull bone crack have?
Middle cranial fossa fracture: the symptoms of this kind of skull fracture often involve the petrous part of the neck bone. When the meninges and periosteum are ruptured, the cerebrospinal fluid flows out from the tympanic hiatus through the middle ear to form cerebrospinal fluid otorrhea; If the tympanic membrane is intact, the cerebrospinal fluid flows to the nasopharynx through the eustachian tube, often combined with 1R or cranial nerve injury.
Anterior cranial fossa fractures: often involving the frontal orbital plate and ethmoid bone, resulting in bleeding through the nostril outflow; Or flow into the orbit, periorbital subcutaneous and under the conjunctival membrane to form congestion spots. It is called "Panda" eye sign. When the meninges are ruptured at the fracture site, cerebrospinal fluid may flow out from the anterior nostril through frontal sinus or ethmoid sinus, and become cerebrospinal rhinorrhea.
Posterior fossa fracture: when the fracture involves the posterolateral part of the petrous part of the neck, the symptoms of skull fracture are mostly subcutaneous congestion of the mastoid 2-3 days after the injury. When the fracture involves the anti bone base, swelling and subcutaneous congestion of the lower occipital region may occur several hours after injury.
matters needing attention
1. According to the doctor's advice, the patients with skull base fracture were closely observed the changes of vital signs, early detection of cerebral hernia and timely surgical treatment. 2. Patients with skull base fracture and cerebrospinal fluid leakage should be absolutely bedridden. 3. If there is cerebrospinal fluid leakage, a small sterile towel should be padded under the pillow. All operations should be treated as sterile wound to prevent infection. 4. The patient should lie on the side of the patient to facilitate drainage. 5. In case of rhinorrhea, it is not allowed to take out or block by hand, and it is not allowed to cough or sneeze forcefully, so as to prevent cerebrospinal fluid from flowing into the brain and causing intracranial infection and gas accumulation. 6. Lumbar puncture is forbidden for patients with skull base fracture, except for those with intracranial infection.
