Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
임상
반충손상을 동반한 측두골 골절
조태권1, 최혜진1, 신익순1, 홍정훈1
Temporal Bone Fracture Accompanied with Contre-coup Injury
Tai Kwon Cho1, Hye Jin Choi1, Ik Soon Shin1, Jung Hoon Hong1
1Department of Otolaryngology, National Police Hospital
© Copyright 1995 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Published Online: May 31, 2020
ABSTRACT
In patients with a blow to the head or a fall into the head, contre-coup injury occurred in the contralateral side of impact with temporal bone fracture. The involved area of the temporal bone fracture was confirmed with computerized tomography(CT), and the contre-coup injury was also recognized with CT or magnetic resonance imaging(MRI). Contre-coup lesions appeared with the patterns of meningeal edema in middle cranial fossa, subdural hematoma in the temporo-parietal area, cerebral hemorrhagic contusion in anterior cranial fossa. It could be concluded that MRI is very useful in the detection of the intracranial lesions unrecognizable in CT, and especially in the temporal bone fracture patients complaining of headache.
Keywords: Temporal bone fracture; Contre-coup injury
