Braakman R
J Neurol Neurosurg Psychiatry. 1972 Jun;35(3):395-402. doi: 10.1136/jnnp.35.3.395.
Data are given of a consecutive series of 225 cases with depressed skull fracture, admitted within 48 hours after the accident. The series is considered to represent the full range of this type of injury in a densely populated area in the Netherlands. The predominance of young male patients with a compound fracture is stressed. The data are compared with other series. The results of long-term follow-up are presented and particular attention is paid to the rate of early and late epilepsy and persisting neurological deficit. The significance of complications like intracranial haematoma and venous sinus involvement is confirmed. Treatment is discussed. In 66% of cases, most of which were compound, some even severely contaminated, the indriven bone fragments were completely or partially replaced with excellent cosmetic result and low infection rate.
给出了在事故发生后48小时内收治的225例颅骨凹陷性骨折连续病例的数据。该系列病例被认为代表了荷兰人口密集地区此类损伤的全部情况。强调了年轻男性患者复合骨折的 predominance 。将这些数据与其他系列进行了比较。给出了长期随访结果，并特别关注早期和晚期癫痫的发生率以及持续存在的神经功能缺损。证实了颅内血肿和静脉窦受累等并发症的 significance 。讨论了治疗方法。在66%的病例中，其中大多数是复合骨折，有些甚至严重污染，嵌入的骨碎片被完全或部分替换，美容效果极佳且感染率低。
