Intracranial impalement with entrance site in the mandibular region: Postmortem elucidation of an accidental fall on a wooden plant stick

Perdekamp, M. Große; Weisser, Hans-Joachim; Pollak, Stefan; Thierauf, Annette

doi:10.1016/j.forsciint.2011.03.034

Cited by 16 publications

(4 citation statements)

References 26 publications

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“…Complications of infection have been reported in most cases of intracranial foreign bodies, and wooden foreign bodies are thought to be a breeding ground for microbial growth and often cause serious infections 4. In addition to the present case, we waded through case reports of perforation trauma caused by bamboo, and 18 cases are summarised in table 1 9–20…”

Section: Discussionmentioning

confidence: 93%

Reversible cerebral vasospasm and cerebral infarction secondary to meningitis following penetrating head trauma with bamboo

et al. 2023

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A man in the 70s fell on a bamboo and punctured his left upper eyelid. CT of the head showed fractures of the medial and superior walls of the left orbit, intracranial traumatic subarachnoid haemorrhage, intraventricular haematoma and left frontal cerebral contusion. He was treated conservatively. Despite prophylactic antibiotic therapy, he had prolonged loss of consciousness. A cerebrospinal fluid examination revealed bacterial meningitis. Imaging studies on day 15 showed extensive subacute cerebral infarction in the bilateral parieto-occipital lobes and main trunk artery stenosis. On day 31, MRA showed improvement of the main arteries, and cerebral vasospasm-induced cerebral infarction was diagnosed. He was transferred to rehabilitation with full assistance. The prognosis of bamboo perforation trauma is critical. Thus, preventing and treating central nervous system infection are considered the key to the prognosis. However, given the lack of established treatment for meningitis-associated cerebral vasospasm, case-specific treatment must be considered.

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Section: Discussionmentioning

confidence: 93%

Reversible cerebral vasospasm and cerebral infarction secondary to meningitis following penetrating head trauma with bamboo

et al. 2023

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“…There is significant information in the forensic and medical literature regarding penetrating ballistic head injuries to civilians, however, the ammunition used (when described) is typically handgun or shotgun (particularly with reference to suicides). More unusual penetrating head injuries from impalements are also the subject of case studies within the forensics literature,14 15 but is not reviewed further due to the lack of relevance to military injuries. Data obtained for non-ballistic (Table 1) and ballistic head injuries (Table 2) are summarised.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of military head injuries

2016

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The description of body segment varies among articles and this makes comparisons among datasets difficult. There is a lack of detail regarding the precise position and severity of injuries, and long-term outcome for casualties. It is demonstrated that wearing military helmets reduces fatalities on and off the battlefield. The risk of BHBT injuries is widely referred to, but evidence of their occurrence is not provided by the authors that describe the risk of BHBT occurring. Further research into the causes and severity of head injuries would be useful for designers of military helmets and other associated personal protective equipment, particularly as advances in materials technology means lighter, thinner and more protective helmets are achievable.

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“…37 Transvaginal impalements may occur during consensual sexual activity and result not only in injuries to the vagina with significant haemorrhage, but also to the rectum, bladder, mesentery and omentum. 38,39 Homicides with impalement may also have a sexual focus.…”

Section: Discussionmentioning

confidence: 99%

A forensic evaluation of impalement injuries

Byard

2018

Med Sci Law

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Impalement injuries transfix a victim in an inescapable or helpless position. A study was undertaken at Forensic Science SA from 2002 to 2016 of all impalement deaths. There were six vehicle accidents (M:F=5:1; age 14-67 years, average age 38.5 years) involving impalements with a tree branch ( n=2; groin and chest), a metal pipe ( n=2; leg and head), a metal bridge railing (groin) and a metal fence post (chest). Two cases (both males, aged 47 and 18 years) had slipped on fences/gates, with impalements of the ankle and groin. A case of suicide (male, aged 80 years) was impaled through the head on a bolt fixed to the floor. A homicide case (male, aged 27 years) involved impalement through the chest by a spear from a spear gun. In certain cases (e.g. with anogenital injuries), differentiating accidental from inflicted impalement injuries may be difficult. In equivocal cases, adequate scene evaluations with photographic documentation are required prior to autopsy, ideally with the object available for examination.

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Intracranial impalement with entrance site in the mandibular region: Postmortem elucidation of an accidental fall on a wooden plant stick

Cited by 16 publications

References 26 publications

Reversible cerebral vasospasm and cerebral infarction secondary to meningitis following penetrating head trauma with bamboo

Reversible cerebral vasospasm and cerebral infarction secondary to meningitis following penetrating head trauma with bamboo

A systematic review of military head injuries

A forensic evaluation of impalement injuries

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