Late Complications of Arrow and Spear Wounds to the Head and Neck

Jacob, Ollapallil J.; Rosenfeld, Jeffrey V.; Taylor, Rosemary H.; Watters, David

doi:10.1097/00005373-199910000-00026

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…Patients with skull penetrating injuries may develop posttraumatic complications such as a posttraumatic aneurysm, AV fistula, or meningitis. [12][13][14][15] This is why prophylactic antibiotic treatment is recommended in such cases. 14,15 The antibiotic is chosen on the basis of the contamination expected to be found on the object that caused the injury or on the results of an antibiogram.…”

Section: Discussionmentioning

confidence: 99%

Clinical Curiosity: Transnasal Head Trauma Caused by a Toilet Paper Holder

Süss

Bode

2016

IJNT

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The risk of severe head injury during a seizure is usually small. Penetrating bony injuries to the skull caused by a fall on a sharp object during a seizure account for less than 3% of all ictal head injuries. Only few reports have been published on transoral, transnasal, and transorbital penetrating injuries suffered by patients who fell during a seizure. We report on a case of transnasal penetrating injury extending to the skull base and its treatment in a patient who fell on a toilet paper holder.

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Section: Discussionmentioning

confidence: 99%

Clinical Curiosity: Transnasal Head Trauma Caused by a Toilet Paper Holder

Süss

Bode

2016

IJNT

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“…Accidental, suicidal, or homicidal arrow injuries to the brain other than in tribal conflicts are exceedingly rare and have been reported rarely (Table 1) [1,[5][6][7][8][9][10][11]. To the best of our knowledge, only Opeskin & Burke [9] have reported on a case of a self-inflicted brain injury with crossbow arrows.…”

Section: Discussionmentioning

confidence: 99%

“…A second arrow entered the palate, went through the brain and was ultimately lethal. Other cases of arrow-induced head injuries describe complications such as traumatic aneurysms [5,6,8,12], AV fistulas [5,6,8], meningitis [1,5], sepsis [5], hypopituitarism [5], seizures [12,13], blindness due to direct eye trauma [7,8,10], and lethal outcome [5,9].…”

Section: Discussionmentioning

confidence: 99%

“…In the most favorable case, this may lead to a marked loss of energy and to retention of the arrowhead by the calvarium. This prevents deeper penetration into the brain and explains why some authors, such as Jacob et al [5], report on an astonishingly mild injury pattern.…”

Section: Pathophysiologymentioning

confidence: 97%

“…Since penetrating head injuries are usually associated with vascular, infectious or neurologic complications [5,12], surgical management includes thorough debridement, removal of all bone and foreign body fragments, hematoma evacuation, hemostasis, control of intracranial pressure, prevention of early and late infections as well as restoration of the anatomic integrity of the injured structures so as to prevent cerebrospinal fluid leaks. Special care should be taken, whenever the arrowhead barbs have completely penetrated the cranium.…”

Section: Imagingmentioning

confidence: 99%

See 2 more Smart Citations

Self-Influcted Intracranial Injury Caused by a Crossbow Arrow

Suess¹,

Kombos²,

Suess³

et al. 2002

European Journal of Trauma

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The availability of sophisticated hunting and sports weapons such as modern crossbows increases the incidence of uncommon types of accidental, suicidal, and homicidal head injuries. This report describes the case of a 47-year-old man with a nonfatal head injury due to a crossbow broadhead hunting arrow penetrating the left frontal lobe. The injury was accidentally self-inflicted by the intoxicated patient. A review of the literature has shown that self-inflicted head injuries caused by arrows are a very rare or, at least, a seldom reported entity. The mechanisms and pathophysiology of penetrating head injuries caused by different kinds of projectiles are discussed in order to clarify the management of these cases.

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Traumatic Vascular Injury to the Cervical Spine

DiLuna¹,

Amar²

2007

Surgical Management of Spinal Cord Injury

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Late Complications of Arrow and Spear Wounds to the Head and Neck

Cited by 8 publications

References 16 publications

Clinical Curiosity: Transnasal Head Trauma Caused by a Toilet Paper Holder

Clinical Curiosity: Transnasal Head Trauma Caused by a Toilet Paper Holder

Self-Influcted Intracranial Injury Caused by a Crossbow Arrow

Traumatic Vascular Injury to the Cervical Spine

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