• Zana Qadir Othman Neurosurgery Trainee, Shar Teaching Hospital, Sulaimani, Kurdistan Region, Iraq.
  • Ari Sami Hussain Nadhimd Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
  • Ari Anwer Salih Shar Teaching Hospital, Sulaimani, Kurdistan Region, Iraq.



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



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.


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).


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.


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


- Satardey RS, Balasubramaniam S, Pandya JS, Mahey RC. Analysis of Factors Influencing Outcome of Depressed Fracture of Skull. Asian J Neurosurg. 2018; 13(2):341-47. DOI:

- Asif M, Aatika F. Depressed Skull Fracture Management of 100 Cases at DHQ Teaching Hospital/Sahiwal Medical College Sahiwal. Pak J of Neurol Surg. 2017; 21(3):144 -48.

- Mushtaq, Azam F, urRehman R. Surgical Management and Outcome of Depressed Skull Fracture. Pak J of Neurol Surg. 2010; 14(1):30- 34.

-Manne S, Musali SR, Gollapudi PR, Nandigama PK, Mohammed I, Butkuri N, et al. Surgical Outcomes in Depressed Skull Fractures: An Institutional Experience. Asian J Neurosurg. 2019; 14(3): 815–20. DOI:

- Rehman ZU, Khan MM, Ayub S. Clinicoradiological Features and Early Postoperative Outcome of Depressed Skull Fractures. Pak J of Neurol Surg. 2016; 20(3): 154- 9.

- Rabiu TB, Adetunmbi B. Posttraumatic Seizures in a Rural Nigerian Neurosurgical Service. World Neurosurg. 2017; 104: 367-71. DOI:

- Jennett B, Miller JD, Braakman R. Epilepsy after nonmissile depressed skull fracture. J Neurosurg. 1974; 41(2): 208- 16. DOI:

- Hussain R, Khan B, Azam F, Khan Z, Alam I, Ali M, et al. Outcome of Surgically Managed Depress Skull Fracture in a Tertiary Care Hospital. Pak J of Neurol Surg. 2013; 17(2): 168- 70.

- Hossain MZ, Mondle MS, Hoque MM. Depressed Skull Fracture: Outcome of Surgical Treatment. TAJ. 2008; 21(2): 140-46. DOI:

- Al-Haddad SA, Kirollos R. A 5-year study of the outcome of surgically treated

depressed skull fractures. Ann R Coll Surg Engl. 2002; 84(3): 196-200.

- Rolekar NG. Prospective study of the outcome of depressed skull fracture and its management. Int J Med Sci Public Health. 2014; 3(12): 1540-44. DOI:

- Braakman R. Depressed skull fracture: data, treatment, and follow-up in 225 consecutive cases. J Neurol Neurosurg Psychiatry. 1972; 35(3): 395-402. DOI:

- Ersahin Y, Mutluer S, Mirzai H. Pediatric depressed skull fractures: analysis of 530 cases. Child's Nerv Syst. 1996; 12: 323-31. DOI:

- Shukla D, Jain M. Depressed skull fractures- case series of 100 patients. J Evid Based Med Healthc. 2018; 5(48), 3324-6. DOI:

- Temkin NR. Risk Factors for Post-traumatic Seizures in Adults. Epilepsia. 2003; 44(10):18–20. DOI:



How to Cite

Othman Z, Nadhimd A, Salih A. FREQUENCY OF SEIZURE IN SURGICALLY MANAGED DEPRESSED SKULL FRACTURE IN SULAYMANIYAH CITY. JSMC [Internet]. 2021 Sep. 21 [cited 2024 May 28];11(3):335-42. Available from:

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