Intracranial penetrating glass injury: A case report

Srivastava, Chhitij; Singh, Sunil Kumar; Ojha, Bal Krishna; Chandra, Anil

doi:10.1016/j.ijnt.2012.04.003

Cited by 9 publications

(11 citation statements)

References 7 publications

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“…1,2,[5][6][7] As per the literature, intracranial penetration by foreign bodies occur most commonly through the orbit, nose, or frontal sinus. 4,8,9 Rarely, penetrating injuries can occur due to glass of an automobile window. Moreover, penetrating injury due to multiple pieces of tempered glass in an extremely hard frontal bone has not been reported previously.…”

Section: Discussionmentioning

confidence: 99%

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“Mosaic Pattern” Foreign Bodies in Computed Tomography of the Head: A Specific Sign to Detect Tempered Glass-Related Head Injury

Faheem

Kumar

Jaiswal

et al. 2019

IJNS

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A 40-year-old male patient presented to us with a history of road traffic accident, followed by loss of consciousness and vomiting. Noncontrast computed tomography (NCCT) scan revealed frontal bone defect along with multiple “mosaic pattern” homogenously hyperdense foreign bodies of nearly similar size in the right frontoparietal region within the extradural space. Debridement craniectomy was done, and multiple pieces of glass were retrieved. The extremely unique radiologic finding and probably first in the English literature prompted us to report this interesting case. Unfortunately, the patient died of myocardial infarction 3 days after the injury. Further, this new “mosaic pattern” radiologic finding on NCCT of the head may help in determining the mechanism of injury due to tempered glass-related head trauma. Window glass may not be always safe as it is thought by commuters.

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Section: Discussionmentioning

confidence: 99%

“…12 Glass wound can also result in death due to exsanguination and air embolism. 8 The recovery can take months or years, and in survivors, residual neurologic deficit in the form of limb weakness, behavioral abnormalities, etc. persists.…”

Section: Discussionmentioning

confidence: 99%

“Mosaic Pattern” Foreign Bodies in Computed Tomography of the Head: A Specific Sign to Detect Tempered Glass-Related Head Injury

Faheem

Kumar

Jaiswal

et al. 2019

IJNS

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“…A biochemical cascade begins when a mechanical force disrupts the normal cell integrity, producing the release of numerous enzymes, phospholipids, excitatory neurotransmitters, Calcium & free oxygen radicals that propagate further cell damage. 9 Apart from CSF leak, a common complication of transcranial penetration is vascular injury, occurring in 30% cases. It leads to aneurysm in 15%, carotid-cavernous fistula in 7%, other arterio-venous fistula in 4%, trans-section in 3%, & severe vasospasm in 3% cases.…”

Section: Discussionmentioning

confidence: 99%

Self-inflicted penetrating brain injury by an iron rod in a psychiatric patient: Case report and literature review

Panigrahi

Mishra²,

Das³

et al. 2013

The Indian Journal of Neurotrauma

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In day to day clinical practice, closed brain injuries outnumber penetrating brain injuries (PBIs). Although PBIs can happen in industrial accidents, car accidents, fall accidents or criminal activities, it is rare to see such episodes in civilian practice. An interesting case of self-inflicted PBI by an iron rod in a psychiatric patient is being reported here. An iron rod approximately 15 cm long was driven inside the brain in an attempt to commit suicide by a 24-year-old female schizophrenic patient. After investigating the patient by plain X-ray and computed tomography (CT) scan, she was operated by the neurosurgical team and the rod was removed successfully. The post-operative period was uneventful. She was given medical and psychiatric care along with psychological counselling in post-operative phase. The principles of management of PBI with particular importance of suicide precaution in psychiatric patients are briefly reviewed in this paper.

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“…These injuries are usually the results of both intentional and unintentional events, caused by cloves, screwdrivers, chopsticks, keys, electric drills, knifes and pens (8).…”

Section: Discusionmentioning

confidence: 99%

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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Intracranial penetrating glass injury: A case report

Cited by 9 publications

References 7 publications

“Mosaic Pattern” Foreign Bodies in Computed Tomography of the Head: A Specific Sign to Detect Tempered Glass-Related Head Injury

“Mosaic Pattern” Foreign Bodies in Computed Tomography of the Head: A Specific Sign to Detect Tempered Glass-Related Head Injury

Self-inflicted penetrating brain injury by an iron rod in a psychiatric patient: Case report and literature review

Unusual cranial trauma caused by pencil in teenager: case report

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