Treatment of Penetrating Nonmissile Traumatic Brain Injury. Case Series and Review of the Literature

Zyck, Stephanie; Toshkezi, Gentian; Krishnamurthy, Satish; Carter, David A.; Siddiqui, Adnan H.; Hazama, Ali; Jayarao, Mayur; Chin, Lawrence S.

doi:10.1016/j.wneu.2016.04.012

Cited by 59 publications

(72 citation statements)

References 42 publications

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“…The simple radiograph offers information about the penetrating object but does not allow to analyze the cerebral parenchyma in search of damages of the intracranial structures (1,6,7,10).…”

Section: Discusionmentioning

confidence: 99%

“…Moreover, it allows a better evaluation of the bony structures and informs about the relation of the penetrating object with the adjacent structures. CT scan is also useful in the monitoring of postoperative complications (7).…”

Section: Discusionmentioning

confidence: 99%

“…If a major vascular lesion is suspected in the venous sinus and in cases of late subarachnoid hemorrhage or intracerebral hemorrhage, angiography by digital brain subtraction may be indicated after intervention for surgical planning (6,7,9,10,13). If the first scan is negative, it is best to repeat the examination 2 to 3 weeks later (14).…”

Section: Discusionmentioning

confidence: 99%

“…The most frequent germ is Staphylococcus aureus followed by other gram-negative bacteria and occasionally anaerobic bacteria (2,6,15). About 30% to 50% of patients with direct traumatic injury to the cerebral cortex develop seizures due to subsequent scarring (7,16). The use of antiepileptic medication prevents the onset of attacks early, but not late.…”

Section: Discusionmentioning

confidence: 99%

“…The use of antiepileptic medication prevents the onset of attacks early, but not late. For this reason, prophylaxis is recommended for the first 7 days after injury (1,7).…”

Section: Discusionmentioning

confidence: 99%

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Unusual cranial trauma caused by pencil in teenager: case report

Rashid¹,

Abdelrazaq²,

Hoz³

et al. 2017

Romanian Neurosurgery

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Introduction:Penetrating lesions by pencil in the temporal lobe in children and adolescents are uncommon. We present the case of a teenager with penetrating injury by strange object in the temporal lobe. Case: Twelve years old male patient, with history of trauma while he was playing with his friends, presents alteration of the consciousness state, weakness in right hemibody and dysphasia. Urgent surgery is practiced employing an incision in "C" form with improvement of the consciousness state during post-operative. Discussion: Penetrating lesions in the skull and brain are classified as missiles and non-missiles depending of their impact velocity. The wood is a porous organic material that provide a natural deposit of microbian agents, making it potentially lethal. Pre-operative radiological evaluation allows check the trajectory of the penetrating object and secondary lesions present guiding de neurosurgical approach. The prognostic depends on penetration site, timely handling and complications associated. Conclusion: Penetrating lesions by pencil are uncommon, an appropriate imaging evaluation is fundamental to determine the neurosurgical approach that allows prevent and/or decrease secondary damage.

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“…The simple radiograph offers information about the penetrating object but does not allow to analyze the cerebral parenchyma in search of damages of the intracranial structures (1,6,7,10).…”

Section: Discusionmentioning

confidence: 99%

Section: Discusionmentioning

confidence: 99%

Section: Discusionmentioning

confidence: 99%

Section: Discusionmentioning

confidence: 99%

“…The use of antiepileptic medication prevents the onset of attacks early, but not late. For this reason, prophylaxis is recommended for the first 7 days after injury (1,7).…”

Section: Discusionmentioning

confidence: 99%

See 3 more Smart Citations

Unusual cranial trauma caused by pencil in teenager: case report

Rashid¹,

Abdelrazaq²,

Hoz³

et al. 2017

Romanian Neurosurgery

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Traumatic Brain Injury

Mollayeva

2020

Encyclopedia of Life Sciences

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Traumatic brain injury, generally defined as an alteration in brain function, or other evidence of brain pathology as a result of an external force, has established itself as a significant threat to public health. It impacts survivors and their families, and demonstrates clear economic repercussions at the societal level, costing hundreds of billions of dollars annually worldwide. To detect, manage and prevent this complex and often lifelong disabling injury, it is essential to understand its distribution and patterns, and have comprehensive knowledge of persons at risk of injury and adverse outcomes. Key Concepts Traumatic brain injury (TBI) is on the rise worldwide. The lack of a universal definition of TBI presents a problem for quantification of true TBI burden. The baseline clinical severity measures for TBI are often based on symptomatology, loss of consciousness and post‐traumatic amnesia; discordance between clinical severity and evidence of injury based on neuroimaging is common; investment in biomarkers of neuronal and glial integrity is growing. Persons with similar injury severity and acute presentation can experience significantly different clinical course and functional outcomes. Certain groups of people are more vulnerable to TBI and adverse outcomes than others, owing to unique interactions between their biological, behavioural, social and cultural standing before and after the injury. Clinicians, researchers and policy leaders dealing with critical injuries with long‐lasting effects such as TBI cannot afford to leave its probability in the future to chance; greater investment in injury prevention is timely.

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An unusual patterned injury from homicidal craniocerebral impalement with a metal chair leg

Bodwal

Chauhan

Behera

et al. 2020

Forensic Sci Med Pathol

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A 26-year-old young man died shortly after he had suffered craniocerebral impalement from a metal chair leg during an affray at an airport bar. At autopsy a 25 mm diameter circular wound was present in the left parietal region with protruding brain tissue. Death was due to craniocerebral trauma from a penetrating injury to the head. Examination of the chair used in the assault showed a metal chair with smeared blood on the front right leg that matched the blood group of the decedent. The fatal wound had been inflicted by the assailant with the victim leaning forward while kneeling on the floor. The assault had produced an unusual circular patterned defect in the left parietal bone with dimensions corresponding to the chair leg. The location of the defect and the use of a chair leg were two very unusual features in this homicide.

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Treatment of Penetrating Nonmissile Traumatic Brain Injury. Case Series and Review of the Literature

Cited by 59 publications

References 42 publications

Unusual cranial trauma caused by pencil in teenager: case report

Unusual cranial trauma caused by pencil in teenager: case report

Traumatic Brain Injury

An unusual patterned injury from homicidal craniocerebral impalement with a metal chair leg

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