Fourth-Degree Burn of the Brain From Friction Burn of Scalp: An Unusual Injury From a Golf Cart

Abstract

Intracranial injury has been reported secondary to not only blunt and penetrating trauma but also thermal and high-voltage electrical injury. Reconstruction can be challenging, especially in the face of necrosis of large areas of the cranium. The authors present a novel case of fourth-degree thermal burn to the head caused by a rotating tire. Initial wound debridement exposed dura, prompting a dural patch and Integra® for temporary coverage. Definitive coverage was accomplished with a latissimus dorsi free flap. The injury was complicated by associated neurologic defects and seizure activity. However, management was effective, and at 1 year, the patient is alive and well.

‘Pheran’ Induced Fourth Degree Friction Burn of the Brain

“…Fourth degree friction burn of the brain is extremely rare. 1 We present a case of fourth degree friction burn of brain, which was attributed to wearing of a 'Pheran'. Pheran is the loose traditional clothing worn during winters by one and all, in the Kashmir Valley.…”