Penetrating screwdriver wound to the head

Bozzeto-Ambrosi, Patrícia; Costa, Laura Olinda Bregieiro Fernandes; Filho, Hildo Rocha Cirne de Azevedo

doi:10.1590/s0004-282x2008000100024

Cited by 18 publications

(16 citation statements)

References 10 publications

(11 reference statements)

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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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“…Screwdriver-induced PBI is severe and neglected [4, 5]. First, due to their length and spiral force, the tip of rigid screwdrivers may be enable to penetrate into the calvarium, and once through the bone, the screwdrivers may pivot around the entry point in the skull and then cause curved intracranial injuries, which are far more serious than the damage of skin surface.…”

Section: Introductionmentioning

confidence: 99%

Management of screwdriver-induced penetrating brain injury: a case report

et al. 2017

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BackgroundPenetrating brain injury (PBI) can be caused by several objects ranging from knives to chopsticks. However, an assault with long and electric screwdriver is a peculiar accident and is relatively rare. Because of its rarity, the treatments of such injury are complex and nonstandardized.Case presentationWe presented a case of a 54-year-old female who was stabbed with a screwdriver in her head and accompanied by loss of consciousness for 1 h. Computer tomography (CT) demonstrated that the screwdriver passed through the right zygomatic bone to posterior cranial fossa. Early foreign body removal and hematoma evacuation were performed and the patient had a good postoperative recovery.ConclusionsIn this study, we discussed the clinical presentation and successful management of such a unique injury caused by a screwdriver. Our goal is to demonstrate certain general management principles which can improve patient outcomes.

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“…In the general public, penetrating injuries are less common than many other traumatic injuries, such as blunt trauma (1,2). The incidence of penetrating skull and head injuries is ~0.4% of all head injuries.…”

Section: Introductionmentioning

confidence: 99%

A Rare History: an Intracranial Nail Present for Over a Half-Century

Durmaz¹,

Özer

Çamlar

et al. 2017

Acta Med. (Hradec Kralove, Czech Repub.)

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We present a rare case of a patient with a persistent headache for many years found to have an intracranial nail present for nearly 65 years. The nail was found entering approximately 1 cm from the midline on the left side, passing below the superior sagittal sinus, with the tip 1.5 mm right of the frontal horn of the lateral ventricle. Treatment strategies designed to optimize outcome for intracranial foreign bodies and possible complications are discussed in this report. We also discuss the decision for surgical intervention for foreign bodies and the relevance of position of the foreign body.

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Penetrating screwdriver wound to the head

Cited by 18 publications

References 10 publications

Transcranial Injury: Case Report

Transcranial Injury: Case Report

Management of screwdriver-induced penetrating brain injury: a case report

A Rare History: an Intracranial Nail Present for Over a Half-Century

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