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Cerebrospinal Fluid01:21

Cerebrospinal Fluid

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Cerebrospinal fluid (CSF) is a colorless liquid that flows around the brain and the spinal cord, playing a vital role in the protection, support, and overall function of the central nervous system (CNS). CSF production, circulation, and absorption are tightly regulated processes essential for the brain and spinal cord to function properly.
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CSF Leaks due to Electric Scooter Injury.

Jee-Hong Kim1, Marshall Ge1, Peiyi Su1

  • 1Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of University of Southern California, Los Angeles, California, U.S.A.

The Laryngoscope
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PubMed
Summary
This summary is machine-generated.

Electric motorized scooter (e-scooter) use is rising, leading to severe head injuries like skull base fractures. Helmet use is crucial to prevent serious e-scooter accidents and associated trauma.

Keywords:
CSF Leakcraniofacial traumamotorized scooterskull base trauma

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Area of Science:

  • Neurotrauma
  • Public Health
  • Biomechanics

Background:

  • The proliferation of dockless, shareable electric motorized scooters (e-scooters) has led to a significant increase in their usage.
  • This trend raises concerns regarding potential public health and safety issues associated with e-scooter operation.

Observation:

  • A case series involving five patients treated at three Los Angeles tertiary hospitals between May and September 2019.
  • All five patients sustained severe head injuries, including skull base fractures, cerebrospinal fluid (CSF) leaks, or pneumocephalus, following e-scooter accidents.
  • Notably, none of the injured patients were wearing helmets at the time of their accidents.

Findings:

  • E-scooter accidents can result in severe craniofacial and neurological injuries, specifically skull base fractures and associated complications.
  • Treatment for these injuries varied, including observation, CSF diversion (lumbar drain or external ventriculostomy), and in one case, mortality prior to intervention.
  • The absence of helmet use was a common factor in all reported severe injury cases.

Implications:

  • The findings underscore the urgent need for robust safety policies and regulations governing e-scooter use to mitigate injury risks.
  • Promoting helmet use among e-scooter riders is critical to prevent severe head and skull base trauma.
  • Healthcare providers and policymakers should anticipate an increase in e-scooter related injuries and prepare accordingly.