Transorbital penetrating brain injury caused by a toy arrow: a case report

Paučić-Kirinĉić, E.; Prpić, Igor; Gazdik, Michaela A.; Kriz, M; Vojniković, Božidar; Golubović, Vesna

doi:10.3109/17518429709167358

Cited by 8 publications

(7 citation statements)

References 12 publications

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“…More recently in India Devchand and Singh [6] describe a case of a non-fatal arrow shooting following an argument between two brothers resulting in one of them being shot in the chest. Despite the fact that firearms are taking over as a weapon used in criminal activities, projectile trauma is readily observed, therefore investigators may come across a crime where a bow and arrow has been used be they cases of suicide, murder, assault or accidental as described by Paučić-Kiriňcić et al [7]. This case involved two children (aged 9 and 17) who were playing outside with a toy bow and arrow when the arrow broke and a part struck the younger boy in his left eye.…”

Section: Introductionmentioning

confidence: 99%

A comparison of penetration and damage caused by different types of arrowheads on loose and tight fit clothing

et al. 2018

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Bows and arrows are used more for recreation, sport and hunting in the Western world and tend not to be as popular a weapon as firearms or knives. Yet there are still injuries and fatalities caused by these low-velocity weapons due to their availability to the public and that a licence is not required to own them. This study aimed to highlight the penetration capabilities of aluminium arrows into soft tissue and bones in the presence of clothing. Further from that, how the type and fit of clothing as well as arrowhead type contribute to penetration capacity. In this study ballistic gelatine blocks (non-clothed and loose fit or tight fit clothed) were shot using a 24lb weight draw recurve bow and aluminium arrows accompanied by four different arrowheads (bullet, judo, blunt and broadhead). The penetration capability of aluminium arrows was examined, and the depth of penetration was found to be dependent on the type of arrowhead used as well as by the type and fit or lack thereof of the clothing covering the block. Loose fit clothing reduced penetration with half of the samples, reducing penetration capacity by percentages between 0% and 98.33%, at a range of 10m. While the remaining half of the samples covered with tight clothing led to reductions in penetration of between 14.06% and 94.12%. The damage to the clothing and the gelatine (puncturing, cutting and tearing) was affected by the shape of the arrowhead, with the least damaged caused by the blunt arrowheads and the most by the broadhead arrows. Clothing fibres were also at times found within the projectile tract within the gelatine showing potential for subsequent infection of an individual with an arrow wound. Ribs, femur bones and spinal columns encased in some of the gelatine blocks all showed varying levels of damage, with the most and obvious damage being exhibited by the ribs and spinal column. The information gleaned from the damage to clothing, gelatine blocks and bones could potentially be useful for forensic investigators, for example, when a body has been discovered with no weapons or gunshot residue present.

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Section: Introductionmentioning

confidence: 99%

A comparison of penetration and damage caused by different types of arrowheads on loose and tight fit clothing

et al. 2018

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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: 95%

“…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%

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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“…Pada anak dengan palsi serebral terdapat peningkatan risiko terjadinya epilepsi, 1 Surveillance of Cerebral Palsy in Europe (SCPE) melaporkan 35% anak palsi serebral menderita epilepsi, 6 Paucic-Kirincic et al 35,9%, 7 Kwong et al 37,6%, 8 Sianturi et al 37,3%, 9 dan Rahmat et al 39%. 10 Asfiksia neonatal dapat mengakibatkan terjadinya palsi serebral, dan epilepsi bila mengenai area tertentu seperti korteks serebri atau lobus temporal.…”

Section: -5unclassified

“…10 Tipe epilepsi yang sering ditemukan pada palsi serebral yaitu epilepsi umum tonik-klonik dan parsial. 7,9,10 Manifestasi klinis epilepsi pada palsi serebral tergantung dari letak dan luas kerusakan otak.…”

Section: 9unclassified

Faktor Risiko Terjadinya Epilepsi pada Anak Palsi Serebral

Suhaimi

Syarif

Chundrayetti

et al. 2020

JKA

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Pada anak yang menderita palsi serebral kemungkinan akan mengalami peningkatan risiko terjadinya epilepsy. Setiap perubahan pada otak dapat menjadi faktor risiko terjadinya epilepsi dengan berbagai manifestasi klinis. Tujuan: Mengetahui hubungan antara faktor risiko dengan terjadinya epilepsi pada anak palsi serebral di RSUP Dr. M. Djamil Padang. Metode: Desain peneltian ini adalah cross-sectional study yang dilaksanakan pada Agustus 2018 sampai Desember 2019. Subjek palsi serebral diperoleh secara consecutive sampling, dengan jumlah minimal 60 subjek. Faktor risiko yang diteliti meliputi asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal. Uji statistik menggunakan Chi-square test dan Fisher’s exact test, dengan batas kemaknaan p<0,05. Hasil: Pada 60 pasien palsi serebral, ditemukan 39 pasien (65%) menderita epilepsi dan 21 pasien (35%) tidak menderita epilepsi. Perbandingan jenis kelamin perempuan dan laki-laki 1,2:1. Epilepsi umum merupakan tipe epilepsi yang paling banyak ditemukan (76,9%), pengobatan secara politerapi hampir sama banyak dengan monoterapi. Asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal tidak bermakna sebagai faktor risiko epilepsi pada anak palsi serebral. Simpulan: Tidak terdapat hubungan antara asfiksia, persalinan vakum ekstraksi, berat badan lahir rendah, prematuritas dan kejang neonatal dengan terjadinya epilepsi pada anak palsi serebral.Kata kunci: cerebral palsy, epilepsy, risk factors

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Transorbital penetrating brain injury caused by a toy arrow: a case report

Cited by 8 publications

References 12 publications

A comparison of penetration and damage caused by different types of arrowheads on loose and tight fit clothing

A comparison of penetration and damage caused by different types of arrowheads on loose and tight fit clothing

Self-Influcted Intracranial Injury Caused by a Crossbow Arrow

Faktor Risiko Terjadinya Epilepsi pada Anak Palsi Serebral

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