All the females had good outcome (100%) as compared to males (74.4%). Among admitted patients male:female ratio was 3.5:1. In the present study, 39 (78%) cases out of 50 were males and 11 (22%) were females. These findings are similar to multiple studies done earlier. The outcome became worse with increase in age from 18.8% in age group of 20–40 years to 33.3% in group of >60 years. Assault was also common in the same age group. Maximum number of patients (64%) belonged to the working population in age group of 20–30 years who were at special risk of road traffic and railway accidents while commuting. In our study, the mean age of presentation was 37.6 years. These were age, sex, GCS on presentation, site of DSF, type of DSF, associated CT findings, the presence of contusions in brain, dural tear, infection, seizures at presentation or postoperatively, and treatment given.

In general, CT is more useful in demonstrating depressed fractures except when they are at the vertex.īoth conservative and surgical methods can be adopted for the management of these patients depending on cosmetic and functional outcomes.Ĭomparing the general factors in our fifty patients with other studies, we noted few factors affecting the outcome in these patients. DSF is a common variety in traumatic head injury, and with the advent of better imaging modalities such as CT scan, their detection has increased. CT scan is helpful in the diagnosis of skull fracture and associated intracranial lesion. Plain X-ray skull will demonstrate the fracture, type, location, and degree of depression. Patients with DSFs present with a history of trauma, depression over the skull, neurological signs, seizure, CSF leak, or brain matter coming through the wound. In DSF, the outer table of one or more of the fracture edges lies below the normal anatomical level of the inner table as determined by the surrounding intact skull. The incidence of head injuries is steadily increasing, which has led to increased concerns on management and to improve outcome. Head injury largely contributes to the mortality and morbidity of trauma patients. Trauma is a huge problem in both developing and developed countries.

Small left parietal fragment definition