Volume 11 , Issue 3 , September 2021 , Pages 335-342
Zana Qadir Othman 1 ; Ari Sami Hussain Nadhimd 2 ; Ari Anwer Salih 3
1 Neurosurgery Trainee, Shar Teaching Hospital, Sulaymaniyah, Kurdistan Region, Iraq.
2 Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq
3 Shar Teaching Hospital, Sulaymaniyah, Kurdistan Region, Iraq.
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