Intraorbital encephalocele: An important complication of orbital roof fractures in pediatric patients

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dc.authoridKutlu, Ramazan/0000-0001-7941-7025
dc.authoridtekiner, ayhan/0000-0002-3835-2568
dc.authorwosidKutlu, Ramazan/B-1624-2016
dc.authorwosidtekiner, ayhan/HIZ-6473-2022
dc.contributor.authorCayli, S
dc.contributor.authorKocak, A
dc.contributor.authorAlkan, A
dc.contributor.authorKutlu, R
dc.contributor.authorTekiner, A
dc.contributor.authorAtes, O
dc.contributor.authorSahinbeyoglu, B
dc.date.accessioned2024-08-04T20:13:27Z
dc.date.available2024-08-04T20:13:27Z
dc.date.issued2003
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOrbital roof fractures are uncommon, and traumatic intraorbital encephalocele formation is a very rare complication of this type of injury. We treated 43 pediatric patients with orbital roof fractures at our center over a 4-year period. The aim of this study was to retrospectively investigate conditions that may lead to intraorbital encephalocele formation in children with orbital roof fractures. Each case was reviewed, and the cause of injury, associated clinical and computerized tomography findings, the Glasgow Coma Scale score on admission, neurological status, other bodily injuries, hospitalization time and type and width of the orbital roof fracture were recorded. The findings in 6 patients who developed encephaloceles were compared to corresponding findings in the 37 patients who did not develop this complication. A total of 44 orbital roof fractures were diagnosed by axial and coronal computed tomography scanning. Six of the 43 children developed intraorbital encephaloceles in the first month after head trauma. In each of these cases, magnetic resonance imaging demonstrated the intraorbital cystic lesion in communication with the subarachnoid space. The width of each orbital roof fracture was measured on axial and coronal computed tomography slices and was confirmed by measurements during surgery. The width of the fractures in the encephalocele cases ranged from 2-4 mm. Duraplasty and orbitoplasty were performed in all the patients with encephalocele. Pediatric patients with orbital roof fractures that exhibit more than 2 mm diastasis and are associated with frontal cerebral contusion may be at greater risk for developing intraorbital encephalocele. All such cases should be monitored closely and investigated further with magnetic resonance imaging. Copyright (C) 2003 S. Karger AG, Basel.en_US
dc.identifier.doi10.1159/000072868
dc.identifier.endpage245en_US
dc.identifier.issn1016-2291
dc.identifier.issue5en_US
dc.identifier.pmid14512687en_US
dc.identifier.scopus2-s2.0-0141649477en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage240en_US
dc.identifier.urihttps://doi.org/10.1159/000072868
dc.identifier.urihttps://hdl.handle.net/11616/93621
dc.identifier.volume39en_US
dc.identifier.wosWOS:000185888200003en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofPediatric Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcerebral contusionen_US
dc.subjectchildhooden_US
dc.subjectencephaloceleen_US
dc.subjecthead injuryen_US
dc.subjectorbital roof fractureen_US
dc.subjectmagnetic resonance imagingen_US
dc.titleIntraorbital encephalocele: An important complication of orbital roof fractures in pediatric patientsen_US
dc.typeArticleen_US

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