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A rare case of depressed skull fractures at the anterior cranial fossa associated with communicating hydrocephalus resulting a progressive vision loss

Interdisciplinary Neurosurgery, ISSN: 2214-7519, Vol: 17, Page: 119-123
2019
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Case Description

Although an open depressed skull fractures at the anterior cranial fossa is relatively common, comorbidity with a progressive vision loss at initial presentation, with acute communicating hydrocephalus is rare. Here we report a rare case of a progressive vision loss presented with communicating hydrocephalus following open depressed skull fractures at a mid-frontobasal. Fragments of skull were extracted and the dural tear was repaired. Within the first post-operative day, the patient already gained full consciousness and his headache was completely resolved. Unfortunately, the ophthalmologic examinations revealed his vision remains impaired. We discussed the pathological mechanisms of a progressive vision loss and acute communicating hydrocephalus in a patient who was diagnosed with traumatic open depressed skull fracture at a mid-frontobasal, with focus on surgical management of this intriguing case. This case makes a strong argument for an early neurosurgical intervention in frontobasal fractures.

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