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2A,,,B,,,and,,C),,,extending,,into,,the,,carotid,,canal,,(Fig.,,1.Pre-operative,CT,brain.CT=computed,tomography.,These,,fractures,,can,,lead,,to,,cerebrospinal,,fluid,,(CSF),,leak,,,meningitis,,and,,cranial,,neuropathies.Temporal,,bone,,fractures,,are,,typically,,secondary,,to,,high,,energy,,impact,,,and,,are,,classically,,classified,,according,,to,,the,,direction,,of,,the,,fracture,,lines,,[2]and[3]:,,longitudinal,,,transverse,,,and,,mixed.,,1).,,Please,note,that,Internet,Explorer,version,8.x,will,not,be,supported,as,of,January,1,,2016.,

In,,,addition,,,,injuries,,,to,,,the,,,venous,,,sinuses,,,and,,,the,,,petrous,,,portion,,,of,,,the,,,internal,,,carotid,,,artery,,,(ICA),,,have,,,been,,,described.Given,,,the,,,incidence,,,of,,,extra-axial,,,compressive,,,lesions,,,with,,,petrous,,,temporal,,,fractures,,,,surgical,,,evacuation,,,may,,,be,,,necessary.,,,He,,was,,transferred,,to,,the,,local,,trauma,,center,,for,,evaluation.Upon,,arrival,,to,,the,,emergency,,department,,his,,GCS,,dropped,,over,,a,,period,,of,,10min,,to,,4,,,with,,extensor,,posturing,,of,,the,,left,,side.,,The,,arrow,,indicates,,hemorrhage,,and,,pneumocephaly,,near,,the,,junction,,of,,the,,left,,transverse,,and,,sigmoid,,sinuses.,,His,Glasgow,coma,score,(GCS),on,scene,was,noted,to,be,8;,with,localization,of,the,left,arm,to,central,stimulus,,incomprehensible,vocal,sounds,,and,failure,to,open,his,eyes.,At,this,point,a,large,amount,of,venous,hemorrhage,was,encountered,near,the,floor,of,the,middle,fossa,,which,was,packed,with,gel,foam.,..,He,,,was,,,subsequently,,,intubated,,,and,,,sent,,,for,,,computed,,,tomography,,,(CT),,,of,,,the,,,brain.,,,For,more,information,,visit,the,cookies,page.Copyright,,2016,Elsevier,B.V.,If,,there,,are,,associated,,venous,,sinus,,or,,petrous,,ICA,,injuries,,,hemostasis,,is,,paramount,,in,,order,,to,,prevent,,exsanguination.,,

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