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Journal of Clinical and Applied Neurosciences                            Volume 1; Issue 1                                   Jan-Jun 2015
CASE REPORT
Seizure control following surgical resection 17years after a mismanaged compound depressed skull fracture: case report
Jude-Kennedy C EMEJULU1, Tochukwu H MBANUGO1, Enoch O UCHE2, Yewande A M EMEJULU3



AFFIALIATIONS
1Neurosurgery Unit
Department of Surgery
3EEG Unit
Nnamdi Azikiwe University
Teaching Hospital, Nnewi
Anambra State, NIGERIA

2
Neurosurgery Unit
Department of Surgery
University of Nigeria
Teaching Hospital
Ituku-Ozala, Enugu,
NIGERIA

CORRESPONDING AUTHOR
Jude-Kennedy C EMEJULU
Neurosurgery Unit
Department of Surgery
Nnamdi Azikiwe University
Teaching Hospital
PMB 5025, Nnewi
Anambra State, NIGERIA

Email:  judekenny2003@yahoo.com
Phone: +234 803 328 3976
DISCLOSURES: NONE
ABSTRACT
Compound depressed skull fracture is a discontinuity in the skull in which one (or more) of the discontinuous edges is (are) displaced below the inner table of the surrounding intact skull in conjunction with a breach of the epidermis and the meninges or in communication with the paranasal sinuses and middle ear structures resulting in a connection to the exterior environment. The sequelae of such lesions when not properly managed could be quite significant in the outcome of the injury and the life of the patient. We report a case of a 19-year old Nigerian male who presented with post-traumatic epilepsy 17years after sustaining a compound depressed skull fracture at 8months of age, following a fall from height, but, which was not properly managed. It was a case of missed opportunity for an initial proper diagnosis and management, buttressing the need for an early expert surgical management of compound depressed skull fractures and the efficacy of resective surgery in the management of this type of epilepsy.


Keywords:
Craniectomy, debridement, elevation, gliotic brain, mismanagement

Received: 23rd January, 2015                             Accepted: 15th February, 2015