: Skull base fractures are a major cause of morbidity and mortality in head injury. Anterior cranial Fossa (ACF) skull fracture, leading to Cerebro Spinal Fluid (CSF) Rhinorrhea is one the most commonly encountered presentation ACF fractures. The key successful management such cases lies early diagnosis surgical before it leads meningitis avoidable mortality. To evaluate post traumatic CSF rhin...

OBJECT The purpose of this study was to compare the efficacy of the prophylactic use of ceftriaxone for the prevention of meningitis in patients with acute traumatic pneumocephalus. METHODS In this prospective, single-institution, randomized clinical trial, 109 patients with mild head injury and traumatic pneumocephalus were randomly assigned to receive or not receive an antibiotic medication...

Tension pneumocephalus occurs when a continuous flow of air accumulates in the intracranial cavity and produces a mass effect on the brain. We describe a case in which tension pneumocephalus was caused by the performance of continuous lumbar CSF drainage in a middle-aged man who had experienced a temporal bone fracture. Continuous lumbar CSF drainage is commonly performed in patients with tempo...

Recurrent attacks of bacterial meningitis usually follow in the wake of cranial trauma(l). However, other important factors like sinusitis, mastoiditis, congenital dermal sinuses(2-5) and immunological causes related to humoral immunity and the complement system(6) are also important. Recurrent bouts of meningitis may also be seen with intracranial dermoids(7). The published reports on recurren...