Jsmc-10318

FREQUENCY OF SEIZURE IN SURGICALLY MANAGED DEPRESSED SKULL FRACTURE IN SULAYMANIYAH CITY

Zana Qadir Othman a, Ari Sami Hussain Nadhimd b, andAri Anwer Salih c

a Neurosurgery Trainee, Shar Teaching Hospital, Sulaymaniyah, Kurdistan Region, Iraq.

b Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq

c Shar Teaching Hospital, Sulaymaniyah, Kurdistan Region, Iraq.

Submitted: 2/7/2020; Accepted:25/3/2021; Published: 21/9/2021

DOI Link: https://doi.org/10.17656/jsmc.10318

ABSTRACT

Background

Depressed skull fracture (DSF) is one of the conditions which results from various types of trauma in which the outer table of the depressed part lies beneath the line of the inner table. It can be treated conservatively or surgically according to some set of indications. One of its complications is a seizure.

Objectives

Our study tried to find the frequency of seizures in patients who sustained a depressed skull fracture and were surgically treated.

Patients and Methods

A retrospective observational study was conducted in Sulaymaniyah hospitals. Forty eight patients were enrolled in it with male to female ratio of 4.3:1. There were 7 patients who developed seizure, five had immediate seizure and 2 had late seizure. Those with late seizure were placed on antiepileptic drugs (AED).

Results

The position of depressed skull fracture (DSF), statistically, showed significant association with the time of seizure regardless of its type (P-value 0.009), there were also significant association between the presence of dural tear and associated brain injury with seizure type, (P- value= 0.041and 0.036) respectively.

Conclusion

The frequency of developing seizures after DSF was 14.59% regardless of its type.

KEYWORDS

Depressed skull fracture (DSF), Traumatic brain injury, Post-traumatic seizure (PTS).

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