| Identifier |
Newman_Skull_Base_Traumatic_Part_3 |
| Title |
Skull Base Pathology: Part 3 Traumatic |
| Creator |
Steven A. Newman, MD |
| Affiliation |
(SAN) Professor, Neuro-Ophthalmology, Orbital & Oculoplastic Surgery, University of Virginia School of Medicine, Charlottesville, VA |
| Subject |
Skull Base Pathology, Traumatic |
| Description |
Overview of skull base traumatic pathology. |
| Date |
2021 |
| Language |
eng |
| Format |
application/pdf |
| Format Creation |
Microsoft PowerPoint |
| Type |
Text |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Steven A. Newman Collection: https://novel.utah.edu/Newman/ |
| Publisher |
North American Neuro-Ophthalmology Society |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
Copyright 2021. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6y7r50b |
| Setname |
ehsl_novel_newma |
| ID |
1723710 |
| OCR Text |
Show Imaging of the Skull Base Part 3- Traumatic Steven A. Newman, M.D. Charlottesville, VA Skull Base Pathology • Developmental • Traumatic • Inflammatory • Neoplastic • Vascular Skull Base Pathology - Traumatic • Blunt force – Fractures (CSF leak with dural tear) – Hemorrhage – Vascular damage (CCF) • Penetration – Retained foreign body – Importance of metal before MRI JRD 13yo male 1/97: Shot L eye w/ BB-gun Va: 20/20 OU; N: 3pt OU No APD JRD - W/U: CT: GLM 19yo male 12/86: Unrestrained driver MVA Facial laceration repaired x-ray: “negative” Films reviewed: superior rim fracture GLM - PE N 3pt OU VF: full Ext: 1+ ecchymosis RUL, crepitus P: 7/5 w/o APD EOM: RHT & limit abd OD SLE: subconj heme Fundus: nl DMV GLM - W/U CT: GLM - Rx Anterior orbitotomy CRM 3yo male 4/02: Fell while climbing a tree Va: CF OD, unobtainable OS Ext: 2+ edema OS; EOM: absent abduction OS “Air in orbit” CRM - Rx: Taken to OR Trauma - Late • Mucocele – CT for bone defect – MRI for content • Growing fracture JL 54yo male 6/06: 2wk h/o blurred Va OD Va 20/80,20/20 N 26pt,3pt VF: Ext: w/q P: 1.8log RAPD EOM: full SLE: wnl Ta: 13 OU Fundus: nl DMV JL – W/U MRI: JL – W/U CT: JL – Rx Endoscopic decompression of mucocele JL – F/U 6/06: 1day post decompress Va 20/20-,20/20 N 3pt OU VF: Ext: w/q P: .6log RAPD EOM: full SLE: wnl Ta: 12 OU Fundus: nl DMV DCD 41yo male 3/82: 4mo h/o prom globe OS Va 20/25,20/20 VF: full Ext: H 15/22 P: w/o APD EOM: full SLE: wnl Ta: 15/13 Fundus: sm disc ? elevation DCD – W/U Sinus films: L frontal sinus mass w/ orbital extension DCD – Rx 3/82: Bicoronal incision Osteoplastic frontal flap (frontal sinus) Obliteration sinus w/ fat graft DCD – Pathology DCD – F/U Post-op: no complaints Va 20/20 OU Ext: H 15.5/20 P: w/o APD EOM: full DCD – F/U 1/97: 2wk h/o prom L globe Va 20/20 OU; N 3pt OU VF: full Ext: 11mm L inf dystopia, H 15/22 P: .3-.6log LAPD EOM: RH ↑ up gaze SLE: wnl Ta: 12 OU Fundus: nl DMV DCD – W/U CT: JAB 18mo male 1/00: 5mo following MVA w/ subdural requiring craniotomy V FFM OU VF: full Ext: L dystopia P: w/o APD EOM: full SLE: wnl Tt: soft OU Fundus: nl DMV JAB –W/U Review CT: JAB – W/U CT (1/00): CSF Leak • Fluid within sphenoid/ethmoid sinus • CT – CT + Metrizamide • MRI – Abnormality in mucosa |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6y7r50b |
