caa a22 4500 477139892 CHVBK 20180405111729.0 cr unu---uuuuu 170330e19970901xx s 000 0 eng 10.1007/BF01105561 doi (NATIONALLICENCE)springer-10.1007/BF01105561 Causes of infections and management results in penetrating craniocerebral injuries [Elektronische Daten] [Engin Gönül, Alper Baysefer, Serdar Kahraman, Özcan Çklatekerlioğlu, Ferruh Gezen, Orhan Yayla, Naci Seber] From February 1992 to December 1994, 148 patients with penetrating craniocerebral injuries were treated surgically with primary and secondary debridement including repair of dural defects and removal of retained intracranial bone and metal fragments. Dural defects were closed primarily or with temporalis fascia, pericranium, and cadaver graft. Cerebrospinal fluid fistulas were observed in 11(7.3 %) patients; 7 of these were infected. Central nervous system (CNS) infection was seen in 2 patients without CSF fistula. Excluding those 11 patients with CSF fistula, CNS infection was shown in 2 of the 137 cases (1.5 %). All patients underwent CT scans periodically. In 51 (34 %) of 148 patients, bone and metal fragments were determined on control CT scans. During this time, 12 patients died (8 %). Most of deaths were caused by the direct effect of brain injury and occured within the first month after injury. Fragments retained after first debridement were followed periodically by CT scan. Surgery was not performed until infection developed. Retained fragments did not increase the infection risk, but high rates of infection did occur in cases with CSF fistula. Walter de Gruyter & Co., 1997 Craniocerebral injury nationallicence penetrating wound nationallicence retained bone fragments nationallicence surgical infection nationallicence Gönül Engin Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut Baysefer Alper Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut Kahraman Serdar Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut Çklatekerlioğlu Özcan Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut Gezen Ferruh Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut Yayla Orhan Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut Seber Naci Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut Neurosurgical Review Springer-Verlag 20/3(1997-09-01), 177-181 0344-5607 20:3<177 1997 20 10143 https://doi.org/10.1007/BF01105561 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01105561 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gönül Engin Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut NATIONALLICENCE 700 1- Baysefer Alper Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut NATIONALLICENCE 700 1- Kahraman Serdar Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut NATIONALLICENCE 700 1- Çklatekerlioğlu Özcan Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut NATIONALLICENCE 700 1- Gezen Ferruh Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut NATIONALLICENCE 700 1- Yayla Orhan Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut NATIONALLICENCE 700 1- Seber Naci Department of Neurosurgery, Faculty of Medicine, GATA, Ankara, Turkey aut NATIONALLICENCE 773 0- Neurosurgical Review Springer-Verlag 20/3(1997-09-01), 177-181 0344-5607 20:3<177 1997 20 10143 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer