Neurological Deficits in Skull Fractures
The presence of a concussion or skull fracture in trauma patients without intracranial hemorrhage or focal neurologic deficits was indicated in long term cognitive impairments and emotional lability at nearly double the rate as those patients without either complication.
In a study of emergency room patients suspected of having suffered closed head injuries, neuropsychological testing and computerized tomography (CT) scans came back with normal results. The patients did not differ in Closed head injury (CHI) scores as measured by the Glasgow Coma Scale (GCS).
Those with a skull fracture were shown to have "neuropsychological dysfunction, even in the absence of intracranial pathology or more severe disturbance of consciousness on the GCS".
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