Farrell V J, Emby D J
Department of Neurosurgery, Johannesburg Hospital, Republic of South Africa.
Surg Neurol. 1993 Nov;40(5):378-82. doi: 10.1016/0090-3019(93)90216-n.
A consecutive series of 30 patients admitted with non-meningococcal meningitis is presented. In all there was a history of preceding head injury. All 30 patients were investigated by direct coronal computed tomography (CT) scan to determine whether or not a site of fracture into a paranasal air sinus could be demonstrated. We postulated that such a fracture would correspond to the site of a dural tear. Direct coronal CT demonstrated a fracture in all patients, and this corresponded to the site of a dural tear at operation in every case in which an operation was carried out (28 out of the 30 patients). We propose that this method of investigation is superior to other techniques that have been, or are currently, employed in this clinical situation.
本文报告了连续收治的30例非脑膜炎球菌性脑膜炎患者。所有患者均有头部外伤史。对所有30例患者均进行了直接冠状位计算机断层扫描（CT），以确定是否能显示出骨折进入鼻窦的部位。我们推测这种骨折可能与硬脑膜撕裂部位相对应。直接冠状位CT显示所有患者均有骨折，且在所有接受手术的病例（30例患者中的28例）中，骨折部位均与手术中硬脑膜撕裂部位相对应。我们认为这种检查方法优于目前或过去在这种临床情况下所采用的其他技术。
