Objective: It was aimed to evaluate the clinical and radiological follow-up of patients with isolated linear fractures detected in cranium in the post-traumatic period, to determine on which patients and when to perform the control radiological examinations and to suggest the follow-up protocol.
Methods: 442 patients with isolated linear cranium fracture were evaluated in the study. Imaging examinations and clinical findings of the patients at the time of admission were compared with radiological examinations and clinical findings at follow-up period. Fracture localizations and trauma types were compared. Accompanying maxillofacial fractures depending on the localization of fractures detected in the cranium were determined.
Results: In the follow-up tomography examinations of 18 out of 442 patients; cerebral contusion in 12 patients, epidural hematoma in 1 patient, which were not detected during initial admission. Post-traumatic epilepsy was observed in 4 patients without radiologic findings. In patients who needed follow-up radiological examinations, no significant difference between the radiological examinations which were performed during 4-6 hours and 12-24 hours after trauma.
Conclusions: Isolated linear fracture patients are the ones that do not require neurosurgical intervention. The treatment protocol may change depending on the findings detected to be formed during the follow-up period. Performing routine follow-up radiological examinations is not cost-effective in cases in which no additional finding is present and symptoms do not persist.