A 16-year-old boy was admitted to Hacettepe Children's Hospital, Ankara, Turkey, because of symptoms and signs from a fall on his face from a tractor four days earlier. He had a fever, neck rigidity, positive Kernig's and Brudzinski's signs, facial and periorbital ecchymoses, left peripheral facial nerve paralysis, and rhinorrhea. Electroneuromyography of the left frontalis and orbicularis oris muscles and facial nerve confirmed peripheral nerve involvement. No organisms grew from a CSF culture. Microscopic examination and biochemical values of CSF were consistent with posttraumatic meningitis. Complete blood cell count, urinalysis findings, serum electrolyte determinations, hormonal analysis results (follicle-stimulating, thyroid-stimulating, and growth hormones and corticotropin), visual fields, and an EEG were normal. The lateral skull roentgenogram is shown in the Figure.
Denouement and Discussion
Fracture of the Sella Turcica
Lateral skull roentgenogram shows type II sella turcica fracture.
There are few reports in the literature of sella turcica fracture.1-6 Fracture
Caglar MK, Ceyhan M, Senses DA, Dilman U, Young LW. Radiological Case of the Month. Am J Dis Child. 1984;138(6):605–606. doi:10.1001/archpedi.1984.02140440089025
Monkeypox Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.