@article{ref1,
title="Contrecoup injury in patients with traumatic temporal bone fracture",
journal="Journal of laryngology and otology",
year="2011",
author="Asha'ari, Z. A. and Ahmad, R. and Rahman, J. and Kamarudin, N. and Wan Ishlah, L.",
volume="125",
number="8",
pages="781-785",
abstract="Objective:To study the prevalence and patterns of contrecoup injury in traumatic temporal bone fracture cases.Method:A prospective, cohort study was undertaken of all patients with traumatic head injury admitted to a tertiary referral hospital in Malaysia within an 18-month period. High resolution computed tomography scans of the brain and skull base were performed in indicated cases, based on clinical findings and Glasgow coma score. Patients with a one-sided temporal bone fracture were selected and subsequent magnetic resonance imaging performed in all cases. Contrecoup injury incidence, type, severity and outcome were recorded.Results:Of 1579 head injury cases, 81 (5.1 per cent) met the inclusion criteria and were enrolled in the study. Temporal bone fractures were significantly associated with intracranial injuries (p < 0.001). The incidence of a contrecoup injury in cases with temporal bone fracture was 13.6 per cent. Contrecoup injury was significantly associated with petrous temporal bone fracture (p < 0.01). The commonest contrecoup injury was cerebral contusion, followed by extradural haematoma and subdural haematoma.Conclusion:Contrecoup injury is not uncommon in cases of temporal bone fracture, and is significantly associated with petrous temporal bone fracture.<p /> <p>Language: en</p>",
language="en",
issn="0022-2151",
doi="10.1017/S0022215111000545",
url="http://dx.doi.org/10.1017/S0022215111000545"
}