Penetrating brain injury by drill bit

Gutiérrez-González, Raquel; Boto, G.R.; Rivero-Garvía, Mónica; Pérez-Zamarrón, A.; Esparza-Gómez, Germán

doi:10.1016/j.clineuro.2007.09.014

Cited by 66 publications

(72 citation statements)

References 14 publications

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“…[4][5][6][7][8][9][10][11][12][13][14][15] A new object, wooden shovel handle was reported in this paper.…”

Section: Discussionmentioning

confidence: 99%

Transcranial Injury: Case Report

Demir¹,

Ayan²,

Deniz³

et al. 2012

Turkiye Klinikleri J Med Sci

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1496 ranscranial brain injuries are serious conditions with high mortality and morbidity rates. Estimated mortality rates were reported between 34% and 93% in various studies.1 High velocity transcranial injuries are mostly caused by shell and shrapnel fragments. Because the shape of the wooden shovel handle is rough and thick, its penetrance to the cranium is very difficult. To the best of our knowledge, wooden shovel handle has not been described as a cause of high velocity transcranial injury in the literature.Transcranial Injury: Case Report A AB BS ST TR RA AC CT T Penetrating cranial injury is a potentially life-threatening condition. Shell and shrapnel fragments are the most common cause of high velocity penetrating head injuries. The pathophysiological consequences of penetrating head injuries depend on the kinetic energy and trajectory of the object. If the velocity of the penetrating object is high enough, the object shape and sharpness is not very important for penetrance. We reported a case of transcranial injury caused by a broken wooden shovel handle. The Glasgow Coma Scale score of the patient was 4 in the emergency department. Wooden shovel handle had entered through the right maxillary region, penetrated the brain and come out of the skull through the right parietal bone. Surgery was planned according to the radiological studies. Expeditious removal of the foreign body was carried out by craniotomy. The patient died on postoperative day 3. A number of high velocity transcranial injuries have been reported in the literature, but to the best of our knowledge, there was no report on transcranial injury with a wooden shovel handle. K Ke ey y W Wo or rd ds s: : Head injuries, penetrating; craniocerebral trauma Ö ÖZ ZE ET T Delici kafa yaralanması potansiyel olarak yaşamı tehdit edici bir durumdur. Bomba ve şarap-nel parçaları yüksek hızlı delici kafa yaralanmalarının en yaygın nedenidir. Delici kafa yaralanmalarının patofizyolojik sonuçları kinetik enerjiye ve nesnenin izlediği yola bağlıdır. Eğer delici nesnenin hızı yeterince yüksekse, şekli ve keskinliği delicilik açısından çok önemli değildir. Bu makalede, kırık bir tahta kürek sapının neden olduğu transkraniyal bir yaralanma olgusu sunulmuştur. Hasta acil serviste değerlendirildiğinde, Glasgow Koma Skalası skoru 4 bulundu. Tahta kürek sapı sağ maksiller bölgeden girmişti, beyni delip parietal kemiğin sağ kısmından kafatasının dışına çıkmıştı. Radyolojik incelemelere göre cerrahi girişim planlandı. Kraniyotomi yapılarak yabancı cisim hızlıca çıkarıldı. Hasta postoperatif 3. günde öldü. Literatürde çok sayıda yüksek hızlı transkraniyal yaralanma bildirilmiştir; fakat bildiğimiz kadarıyla hiçbirinde tahta kürek sapı ile transkraniyal yaralanma bildirilmemiştir.

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“…[4][5][6][7][8][9][10][11][12][13][14][15] A new object, wooden shovel handle was reported in this paper.…”

Section: Discussionmentioning

confidence: 99%

Transcranial Injury: Case Report

Demir¹,

Ayan²,

Deniz³

et al. 2012

Turkiye Klinikleri J Med Sci

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“…Prophylactic antiseizure drugs are recommended during the first week after injury to reduce the incidence of early posttraumatic seizures. 19 Stabbing injuries to the brain are more frequently seen as a cause of emergent neurosurgical admissions in South Africa. The largest report in the literature regarding nonmissile penetrating injury is from a neurosurgical group in South Africa where cranial stab wounds are a frequent cause of emergent admission.…”

Section: 11mentioning

confidence: 99%

“…16,19 Such injuries in the vast majority of the Western world remain uncommon among civilians and are usually related to violence, accidents, or suicide attempts in association with mental disorders. 19 …”

Section: 11mentioning

confidence: 99%

“…Additionally, the patients may present with good initial Glasgow coma scale (GCS) presentation in many cases, making it difficult to appreciate the extent of the injury, especially in children. 13,18,19 A high index of suspicion is needed in patients presenting with scalp injuries because the actual amount of injury may be more extensive than what appear on the surface. A meticulous examination of the scalp and thorough neurological and radiological assessment are required to evaluate the extent of the damage.…”

Section: 11mentioning

confidence: 99%

“…23,34 Other factors associated with higher likelihood of infectious complications include CSF leaks, air sinus wounds, transventricular injuries, or wounds crossing the midline. 19 Whenever an intracranial abscess occurs, presence of a retained foreign body should be suspected and investigated. 13 About 30 to 50% of patients suffering penetrating brain injuries will develop seizures, with up to 10% of them appearing early (first 7 days after trauma).…”

Section: 11mentioning

confidence: 99%

See 2 more Smart Citations

Management of Non-Missile Penetrating Brain Injuries: A Description of Three Cases and Review of the Literature

Sweeney¹,

Lebovitz²,

Eller³

et al. 2011

Skull Base

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Nonmissile penetrating intracranial injuries are uncommon events in modern times. Most reported cases describe trajectories through the orbit, skull base foramina, or areas of thin bone such as the temporal squama. Patients who survive such injuries and come to medical attention often require foreign body removal. Critical neurovascular structures are often damaged or at risk of additional injury resulting in further neurological deterioration, life-threatening hemorrhage, or death. Delayed complications can also be significant and include traumatic pseudoaneurysms, arteriovenous fistulas, vasospasm, cerebrospinal fluid leak, and infection. Despite this, given the rarity of these lesions, there is a paucity of literature describing the management of neurovascular injury and skull base repair in this setting. The authors describe three cases of nonmissile penetrating brain injury and review the pertinent literature to describe the management strategies from a contemporary cerebrovascular and skull base surgery perspective.

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Self‐Harm

Kernbach-Wighton¹

2014

Handbook of Forensic Medicine

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Penetrating brain injury by drill bit

Cited by 66 publications

References 14 publications

Transcranial Injury: Case Report

Transcranial Injury: Case Report

Management of Non-Missile Penetrating Brain Injuries: A Description of Three Cases and Review of the Literature

Self‐Harm

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